Provider Demographics
NPI:1326857178
Name:BOWENS, CHARNEE (CPRP, MED)
Entity type:Individual
Prefix:
First Name:CHARNEE
Middle Name:
Last Name:BOWENS
Suffix:
Gender:F
Credentials:CPRP, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8865 STANFORD BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5422
Mailing Address - Country:US
Mailing Address - Phone:410-415-3966
Mailing Address - Fax:
Practice Address - Street 1:8865 STANFORD BLVD STE 202
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5422
Practice Address - Country:US
Practice Address - Phone:410-415-3966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD75576973225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner