Individual
MISS STEPHANIE LEIGH BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
4400 GOLF ACRES DR, BUILDING J, SUITE D, CHARLOTTE, NC 28232-5990
(919) 698-2358
Mailing address
7828 COUNTRY KNOLL, BAHAMA, NC 27503-8820
(919) 698-2358
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1683
NC
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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