Individual
LAURIE BOWLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
21234 OLEAN BLVD STE 4, PORT CHARLOTTE, FL 33952-6721
(941) 380-3377
Mailing address
21234 OLEAN BLVD STE 4, PORT CHARLOTTE, FL 33952-6721
(941) 380-3377
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA86344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA86344
LICENSED MASSAGE THERAPIST
FL
Enumeration date
05/25/2017
Last updated
07/21/2022
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