Provider Demographics
NPI:1811598014
Name:BOWN, JACQUELYN F (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:JACQUELYN
Middle Name:F
Last Name:BOWN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:JACQUELYN
Other - Middle Name:F
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:11850 DR MATRIN LUTHER KING JR ST N
Mailing Address - Street 2:APT 6208
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716
Mailing Address - Country:US
Mailing Address - Phone:423-341-7153
Mailing Address - Fax:
Practice Address - Street 1:7101 DR MARTIN LUTHER KING JR ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-5819
Practice Address - Country:US
Practice Address - Phone:727-527-7231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-04
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist