Individual
MELISSA ANNE BOWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
100 OAK STREET, FARMVILLE, VA 23901
(434) 392-7421
Mailing address
971 MCCUNE RD, CREWE, VA 23930-3402
(434) 292-0043
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602261
VA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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