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Individual

MS. KASANDRA BOWLES ST. CLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T.

Contact information

Practice address
1901 S MAIN ST, SUITE 8, BLACKSBURG, VA 24060-6600
(540) 552-3422
(540) 552-2296
Mailing address
1901 S MAIN ST, SUITE 8, BLACKSBURG, VA 24060-6600
(540) 552-3422
(540) 552-2296

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
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