Individual
MR. EDDIE R BOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
107 N WILLIS AVE, ENDWELL, NY 13760-3316
(607) 239-6248
Mailing address
107 N WILLIS AVE, ENDWELL, NY 13760-3316
(607) 239-6248
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
66 006981
NY
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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