Individual
AUTUMN L BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1345 DIVISION ST STE 201, DETROIT, MI 48207-2639
(313) 241-6730
Mailing address
1345 DIVISION ST STE 201, DETROIT, MI 48207-2639
(313) 241-6730
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501003792
MI
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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