Provider Demographics
NPI:1881468205
Name:BOWMAN PROSTHETICS AND ORTHOTICS
Entity type:Organization
Organization Name:BOWMAN PROSTHETICS AND ORTHOTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAFFY
Authorized Official - Middle Name:E
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:717-880-9454
Mailing Address - Street 1:69 STONE HILL DR
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-5297
Mailing Address - Country:US
Mailing Address - Phone:717-880-9454
Mailing Address - Fax:
Practice Address - Street 1:69 STONE HILL DR
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-5297
Practice Address - Country:US
Practice Address - Phone:717-880-9454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment