| Doctor Name: | JULIEANNA BOWEN |
| NPI Number: | 1275534505 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L |
| License Number: | 103171 |
| Business Practice Address: | 9220 Bass Lake Rd Suite 260 New Hope, MN - 554283000 |
| Business Phone Number: | 7635330363 |
| Business Fax Number: | 7635330842 |
| Mailing Address: | 29073 Davisson Ave, RANDOLPH |
| State: | MN |
| Postal Code: | 550659581 |
| Phone Number: | 6512784699 |
| Fax Number: | |
| NPI Enumeration Date: | 08/09/2005 |
| NPI Last Update Date: | 12/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 103171 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |