Individual
MR. DAVID ALAN MOWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3148 WHITING LANE, PORT CHARLOTTE, FL 33952
(941) 380-8281
Mailing address
P.O. BOX 512153, PUNTA GORDA, FL 33951
(941) 380-8281
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0015533
FL
Other
Enumeration date
02/12/2019
Last updated
02/22/2019
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