Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PTL.0018117 | CO |
N | 2251S0007X | Physical Therapist - Sports | PTL.0018117 | CO |
N | 2251X0800X | Physical Therapist - Orthopedic | ||
Y | 2251X0800X | Physical Therapist - Orthopedic | PTL.0018117 | CO |
NPI | 1275286767 |
---|---|
Provider Name | Dr. Caroline Elizabeth Bowman |
First Address | Englewood, CO 80112-5066 |
Second Address | Englewood, CO 80112-5069 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2022 |
Last Update Date | 14/02/2022 |