Individual
MELISSA FAYE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3715 CRILL AVE, PALATKA, FL 32177-9168
(386) 329-2613
(386) 329-2614
Mailing address
218 PAMELA DR, SATSUMA, FL 32189-2125
(386) 329-8951
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22243
FL
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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