Provider Demographics
NPI:1528467628
Name:ASHLEY A. BOWER, LLC
Entity type:Organization
Organization Name:ASHLEY A. BOWER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:BOWER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:972-800-5095
Mailing Address - Street 1:7500 STONEBROOK PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5377
Mailing Address - Country:US
Mailing Address - Phone:972-800-5095
Mailing Address - Fax:
Practice Address - Street 1:7500 STONEBROOK PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5377
Practice Address - Country:US
Practice Address - Phone:972-800-5095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108438261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation