Lisa Bowman, COTA

Individual provider Active NPI Occupational Therapy Assistant · Saratoga, CA

NPI 1487087573 · NPPES record last updated Aug 13, 2013

Key facts

NPI
1487087573
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
2615 (CA)
Practice address
20400 Saratoga Los Gatos Rd
Saratoga, CA 95070-5927
Phone
(408) 741-2983
NPI assigned
Aug 13, 2013
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
2615CAMDCertified Registered Nurse Anesthetist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2615 CA Yes

Addresses

Primary practice location

20400 Saratoga Los Gatos Rd
Saratoga, CA 95070-5927

Mailing address

1803 La Terrace Cir
San Jose, CA 95123-5341

Other providers in Saratoga, CA

All providers in Saratoga, CA · Occupational Therapy Assistant in California

Sources for this page

Verify at the official NPI Registry.