Provider Demographics
NPI:1497301543
Name:BOWER, ANNE (PHD)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:
Last Name:BOWER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 74
Mailing Address - Street 2:
Mailing Address - City:SOUTH POMFRET
Mailing Address - State:VT
Mailing Address - Zip Code:05067-0074
Mailing Address - Country:US
Mailing Address - Phone:802-457-2877
Mailing Address - Fax:
Practice Address - Street 1:99 SENIOR LN
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:VT
Practice Address - Zip Code:05091-3404
Practice Address - Country:US
Practice Address - Phone:802-457-2877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer