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Individual

MR. CARY BRECKINRIDGE BOWEN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3250 HARDEN STREET EXT, STE 200, COLUMBIA, SC 29203-6842
(803) 509-6389
(803) 509-6390
Mailing address
3250 HARDEN STREET EXT, STE 200, COLUMBIA, SC 29203-6842
(803) 509-6389
(803) 509-6390

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4692
SC

Other

Enumeration date
01/22/2007
Last updated
10/02/2012
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