MR. Jacob Bowen, PTA

NPI #1346659752 in Wabash, Indiana

Provider Information

NPI Number: 1346659752
Entity Type: Individual
Name: MR. Jacob Bowen, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 11, 2014
Last Updated: Aug 11, 2014

Practice Location

Address: 1955 VERNON ST
City: Wabash
State: Indiana
ZIP Code: 46992-4026
Phone: (260) 563-8438

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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