Individual
MS. KASANDRA BOWLES ST. CLAIR
Active
Individual
MS. KASANDRA BOWLES ST. CLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204384
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193617
ANTHEM
VT
01
—
7961679
AETNA
VI
01
—
P00381063
MEDICARE RAILROAD
VA
Enumeration date
02/28/2006
Last updated
04/15/2009
Update your record
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