Cathy Bowman

Individual provider Active NPI Occupational Therapist · Pueblo, CO

NPI 1073048633 · NPPES record last updated Apr 20, 2017

Key facts

NPI
1073048633
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT.000857 (CO)
Practice address
820 Baxter Rd
Pueblo, CO 81006-9578
Phone
(719) 948-2631
NPI assigned
Apr 20, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT.000857COMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.000857 CO Yes
Occupational Therapist 225X00000X 2081 NE

Addresses

Primary practice location

820 Baxter Rd
Pueblo, CO 81006-9578

Mailing address

2515 Pitman PL
Pueblo, CO 81004-2633
Phone (719) 289-2192

Other providers in Pueblo, CO

All providers in Pueblo, CO · Occupational Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.