Individual
ANGELICA BOWLES-CAROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5650 BACKUS RD, MEADOW BRIDGE, WV 25976-9757
(304) 254-9153
Mailing address
5650 BACKUS RD, MEADOW BRIDGE, WV 25976-9757
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1553
WV
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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