Linda M Bowman
Individual provider Active NPI Occupational Therapy Assistant · Lake Tapps, WA
NPI 1174875272 · NPPES record last updated Nov 19, 2012
Key facts
- NPI
- 1174875272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OC00001037 (WA)
- Practice address
- 1320 178TH Ave E
Lake Tapps, WA 98391-6411 - Phone
- (253) 862-6600
- NPI assigned
- Oct 12, 2012
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OC00001037 | WA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OC00001037 | WA | Yes |
Addresses
Primary practice location
1320 178TH Ave E
Lake Tapps, WA 98391-6411
Mailing address
3409 204TH Avenue CT E
Lake Tapps, WA 98391-9031
Phone (253) 862-6600
Other providers in Lake Tapps, WA
- Kristi Marie Beers
- Heidi Teresa Bell
- Scott Lowell Bergen
- Rebekah Betts
- Rupinder Bhuller
- Beth Burris
- Julie Cardenas
- Ellen Barbara Cassill
- Alex Mauricio Castro
- Rachelle Caviness
All providers in Lake Tapps, WA · Occupational Therapy Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.