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COLTON VINCENT BOWSER
Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1801350558
Individual Registrant: COLTON VINCENT BOWSER
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
3100 VETERANS PKWY S MOULTRIE, GA 31788-9400 US
Tel: 229-890-3553 Fax: --
Tel: 229-890-3553 Fax: --
Contact information for business:
114 LYNN DR OGDEN, IL 61859-5801 US
Tel: 217-582-2901 Fax: --
Tel: 217-582-2901 Fax: --
Registration Information:
NPI: 1801350558
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Athletic Trainer |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
