NPI 1407338254 · live from the CMS NPI Registry
Keron Bowen
Occupational Therapist in Tempe, AZ. National Provider Identifier 1407338254, active.
NPI record
| NPI | 1407338254 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 1400 E Southern Ave Ste 310, Tempe, AZ 85282 |
| Practice phone | 602-567-9881 |
| Mailing address | 1640 Redstone Center Dr Ste 200, Park City, UT 84098 |
| Enumerated | August 29, 2018 |
| Last updated | August 29, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | 51 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.