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Individual

CHARLES BOUWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPT

Contact information

Practice address
26837 TANIC DR, SUITE 101, WESLEY CHAPEL, FL 33544-4613
(813) 527-6913
Mailing address
2991 ELDER CT, PALM HARBOR, FL 34684-3612
(727) 786-3649

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8092
FL

Other

Enumeration date
02/27/2013
Last updated
02/27/2013
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