MR. Bo Ernest Owens, ATC, CSCS

NPI #1144328550 in Rohnert Park, California

Provider Information

NPI Number: 1144328550
Entity Type: Individual
Name: MR. Bo Ernest Owens, ATC, CSCS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: ATC, CSCS
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1801 E COTATI AVE
City: Rohnert Park
State: California
ZIP Code: 94928-3613
Phone: (707) 664-4316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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