Provider Demographics
NPI:1528735354
Name:HARDER, MARILYN EILEEN (RWP, NCPT, BOWENWORK)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:EILEEN
Last Name:HARDER
Suffix:
Gender:F
Credentials:RWP, NCPT, BOWENWORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5631 BIRKDALE CT
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-4514
Mailing Address - Country:US
Mailing Address - Phone:916-206-2944
Mailing Address - Fax:
Practice Address - Street 1:5631 BIRKDALE CT
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-4514
Practice Address - Country:US
Practice Address - Phone:916-206-2944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-28
Last Update Date:2021-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARWS3171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach