Individual
CHAD M BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C, L.A.T
Contact information
Practice address
184 BUSINESS PARK DR, VIRGINIA BEACH, VA 23462-6533
(336) 382-0689
Mailing address
184 BUSINESS PARK DR, VIRGINIA BEACH, VA 23462-6533
(336) 382-0689
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001763
VA
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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