Individual
ANTONDRA MICHOLE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7111 N FRESNO ST, FRESNO, CA 93720-2965
(559) 500-1042
Mailing address
1208 IOWA AVE, LOS BANOS, CA 93635-3911
(912) 682-7867
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40989
CA
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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