Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251G0304X | Physical Therapist - Geriatrics | 4317 | OH |
N | 2251N0400X | Physical Therapist - Neurology | 4317 | OH |
NPI | 1215134812 |
---|---|
Provider Name | Ms. Suzzanne Kuhn Bowman |
First Address | Milford, OH 45150-1552 |
Second Address | Milford, OH 45150-5641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0616533 | (05) | OH |