Individual
DWAYNE LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
626 RIVERSIDE DR APT 22O, NEW YORK, NY 10031-7235
(646) 228-2555
Mailing address
626 RIVERSIDE DR APT 22O, NEW YORK, NY 10031-7235
(646) 228-2555
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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