Provider Demographics
NPI:1043338353
Name:BOWMAN, PETER D (PT)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:D
Last Name:BOWMAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 NORTHPOINTE CIR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SEVEN FIELDS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-7862
Mailing Address - Country:US
Mailing Address - Phone:724-742-1250
Mailing Address - Fax:724-742-1255
Practice Address - Street 1:300 NORTHPOINTE CIR
Practice Address - Street 2:SUITE 101
Practice Address - City:SEVEN FIELDS
Practice Address - State:PA
Practice Address - Zip Code:16046-7862
Practice Address - Country:US
Practice Address - Phone:724-742-1250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018426225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist