Provider Demographics
NPI:1154441038
Name:BOWER, ASHLEY ALEXANDER (OTR)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ALEXANDER
Last Name:BOWER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10050 LEGACY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-6752
Mailing Address - Country:US
Mailing Address - Phone:214-494-4677
Mailing Address - Fax:469-579-4090
Practice Address - Street 1:10050 LEGACY DR STE 200
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-6752
Practice Address - Country:US
Practice Address - Phone:214-494-4677
Practice Address - Fax:469-579-4090
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108438225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX803092737OtherOFFICE OF THE SECRETARY OF STATE
TX16-163409-3OtherTEXAS WORKFORCE COMMISSION