NPI 1619597408

Tationia Bowen

Practitioner Prosthetist Baltimore, MD

Practice location

Address: 3016 Westfield Ave, Baltimore, MD 21214-1433
Phone: (443) 802-0567
Mailing address: PO Box 24586, Baltimore, MD 21214-4586

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1619597408
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Apr 2020
Record last updated: 21 Apr 2020

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.