| Organization Name: | KRISTIN BOWNE PHYSICAL THERAPY, LLC |
| NPI Number: | 1447641808 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTIN L BOWNE (OWNER) |
| Mailing Address: | 5274 Scotts Valley Dr Suite 105 Scotts Valley |
| State: | CA US |
| Postal Code: | 950663538 |
| Phone Number: | 8316007381 |
| Fax Number: | 8314602730 |
| NPI Enumeration Date: | 02/06/2015 |
| NPI Last Update Date: | 02/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 16593 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |