Most Relevant Information
Provider Data
| NPI Number: | 1003204165 |
| Provider Name: | JENNIFER BOWMAN-CAMPBELL |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 3915 |
Most Important Dates
| Enumeration Date: | 12/24/2014 |
| Last Updated: | 02/17/2015 |
Provider Practice Location
1201 N NORRIS ST
CLOVIS
NM
881016371
Practice Location Phone/Fax
| Phone: | 5757623753 |
| Fax: |
Provider Mailing Location
1201 N NORRIS ST
CLOVIS
NM
881016371
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |