Whalio Doctors

NPI 1003650698

Brevan Alan Bowman, COTA

Practitioner Occupational Therapy Assistant Jonesboro, AR

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OT-A2027 (AR)

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.