Provider Demographics
NPI:1750604369
Name:BOWMAN, JUDITH B (PT)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:B
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2999 DICKINSON AVE
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-5227
Mailing Address - Country:US
Mailing Address - Phone:717-761-3815
Mailing Address - Fax:717-731-9025
Practice Address - Street 1:824 LISBURN RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-7102
Practice Address - Country:US
Practice Address - Phone:717-731-9025
Practice Address - Fax:717-731-9025
Is Sole Proprietor?:No
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT002748L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist