Provider Demographics
NPI:1205531548
Name:BOWMAN, YARELI YURIANAIRI (OTR/L)
Entity type:Individual
Prefix:
First Name:YARELI
Middle Name:YURIANAIRI
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:YARELI
Other - Middle Name:YURIANAIRI
Other - Last Name:VARGAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:538 ARBALLO DR
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-2163
Mailing Address - Country:US
Mailing Address - Phone:831-794-6444
Mailing Address - Fax:
Practice Address - Street 1:1200 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-3208
Practice Address - Country:US
Practice Address - Phone:650-742-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22841225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist