Individual
MR. GERALD BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3802 MURRELL RD, ROCKLEDGE, FL 32955-4741
(321) 877-2090
Mailing address
7777 N WICKHAM RD, MELBOURNE, FL 32940-7976
(305) 543-0133
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH14343
FL
225200000X
Physical Therapy Assistant
PTA28500
FL
225200000X
Physical Therapy Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043749799
CHIROPRACTOR
FL
Enumeration date
06/07/2017
Last updated
10/14/2024
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