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ROD BOWEN LMT

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1104146885

Individual Registrant:
 ROD  BOWEN LMT
Gender: M
Sole Proprietor

Location and contact information for practice:
2312 CRILL AVE STE 1B  PALATKA, FL 32177-4828 US
Tel: 386-385-3046  Fax: --

Contact information for business:
2312 CRILL AVE STE 1B  PALATKA, FL 32177-4828 US
Tel: 386-385-3046  Fax: --

Registration Information:
NPI: 1104146885
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
FLMA57076

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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