Individual
SANDRICKA MARSHA BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6549
MS
2255A2300X
Athletic Trainer
AT0906
MS
Other
Enumeration date
04/25/2015
Last updated
08/19/2020
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