Walisi Ann Bowen, PT
Physical Therapist in Fayetteville, AR. Individual provider (NPI-1).
NPI number1790794147
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790794147
- Entity type
- Individual (NPI-1)
- Name
- Ms. Walisi Ann Bowen
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1934 | AR | Yes |
Practice location
1100 N College AveFayetteville, AR 72703-1944
Phone 479-443-4301
Mailing address
1100 N College AveFayetteville, AR 72703-1944
Phone 479-443-4301
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