Provider Demographics
NPI:1396122461
Name:BOWSER, LINDA MARIA (OTR)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MARIA
Last Name:BOWSER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:MARIA
Other - Last Name:PERSECHINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:610-438-2020
Mailing Address - Fax:
Practice Address - Street 1:34625 GROVE DR
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-2442
Practice Address - Country:US
Practice Address - Phone:313-590-0212
Practice Address - Fax:734-591-1148
Is Sole Proprietor?:No
Enumeration Date:2015-04-28
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201003900225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist