Virginia K Bowen P.T.

NPI 1790916443 - Physical Therapist - 225100000X

NPI Details
NPI 1790916443
Gender Female
Enumeration Date 07/29/2009
Last Updated 09/29/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
402 FIRST STREET
RANDOM LAKE WI, 53075, US
Phone (920) 994-9700
Fax (920) 994-4606
Business Location
5242 MILLSHIRE RD
GREENDALE WI, 53129-1242, US
Phone (414) 421-8014
Fax
Toxanomy
Taxonomy Code 225100000X
License State Wisconsin
License Number 3453024
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According to our database, Ms. Virginia K Bowen P.T. NPI is 1790916443, taxonomy code is 225100000X and license number is 3453024, license state is located at Wisconsin. Virginia K Bowen P.T. physically located at 402 First Street, Random Lake WI, 53075. NPI Number Virginia K Bowen P.T. has the Individual type.

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1790916443 NPI number is provided on an as is basis without warranty of any kind. 1790916443 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia K Bowen P.T. are for informational purposes only.