Individual
LYNETTE BOWKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 W 3RD AVE STE 6, CORSICANA, TX 75110-4564
(903) 872-5925
Mailing address
118 JANICE LN, MABANK, TX 75156-9135
(903) 286-0769
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2022846
TX
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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