Individual
AUDRA BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 E MILL ST, HUMANSVILLE, MO 65674-8507
(417) 754-1601
Mailing address
1319 WEST JACKSON, BOLIVAR, MO 65613
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011004345
MO
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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