NPI 1003650698
Brevan Alan Bowman, COTA
Practice location
- Address
- 1699 Red Wolf Blvd, Jonesboro, AR 72401-5442
- Phone
- (870) 336-0021
- Mailing address
- 5056 Aberdeen Rd, Jonesboro, AR 72405-8184
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1003650698
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Jun 2024
- Record last updated
- 19 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.