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NPI Code Detail

MEDICARE: JENNIFER LYNN BOWES OTR/L

MEDICARE: JENNIFER LYNN BOWES OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOC005798LPA

General Provider Information

NPI Number : 1831484187
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN BOWES OTR/L
Provider Business Mailing Address
First Line : 1305 SPRING LAKE DR
Second Line :
City : ERIE
State : PA
Zip : 16505-2730
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 227 W 22ND ST
Second Line :
City : ERIE
State : PA
Zip : 16502-2614
Country : US
Telephone Number : 814-878-2624
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2011
Last Update Date : 06/15/2011

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