Individual
BOWEN HARRISON BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
11091 N RADIO STATION RD, SENECA, SC 29678-1142
(864) 732-6526
(800) 305-7112
Mailing address
625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11275
SC
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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