Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT002100 | GA |
NPI | 1245358209 |
---|---|
Provider Name | Mrs. Dawn Irene Bowen |
First Address | Atlanta, GA 30309-3821 |
Second Address | Atlanta, GA 30309-3821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 08/07/2007 |