Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 012793 | OH |
NPI | 1013238062 |
---|---|
Provider Name | Camille Rae Bowshier |
First Address | Cincinnati, OH 45271-0001 |
Second Address | Dayton, OH 45414-5800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2010 |
Last Update Date | 16/03/2012 |