Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 2073848 | TX |
N | 225200000X | Physical Therapy Assistant | 911 | NE |
NPI | 1013210533 |
---|---|
Provider Name | Nancy Bowers |
First Address | San Antonio, TX 78251-4514 |
Second Address | San Antonio, TX 78251-4514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2010 |
Last Update Date | 06/12/2010 |