Provider Demographics
NPI:1245610930
Name:BOWMAN, FORREST-ANNE (DPT)
Entity Type:Individual
Prefix:DR
First Name:FORREST-ANNE
Middle Name:
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 MONROVIA STREET
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106
Mailing Address - Country:US
Mailing Address - Phone:318-655-5961
Mailing Address - Fax:
Practice Address - Street 1:2077 ONEAL LN
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-3204
Practice Address - Country:US
Practice Address - Phone:225-754-5188
Practice Address - Fax:225-754-5189
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-08
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA09607R2251X0800X, 225100000X
OR61112310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility