IndividualActive
Cheryl Bowden, PTA
NPI 1508003492 · Contractor · Newalla, OK
Provider details
- NPI number
- 1508003492
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- PTA1321 (OK)
Specialties & taxonomies
Other Service Providers
Practice location
17024 Se 104th St
Newalla, OK 74857-8104
Phone: (405) 760-1751
Fax: (405) 310-6894
Approximate (ZIP-level) locationGet directions
Mailing address
17024 Se 104th St
Newalla, OK 74857-8104
Registry dates
- Enumerated
- 2009-01-14
- Last updated
- 2009-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.