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Individual

MRS. MARY BOWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT,OCS,LMT

Contact information

Practice address
2363 HIGHWAY 135 NW, 117, CORYDON, IN 47112-2153
(812) 734-1918
Mailing address
3689 MELISSA CT NW, CORYDON, IN 47112-6277
(812) 972-0877

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010942A
IN
261QP2000X
Physical Therapy Clinic/Center
005747
KY

Other

Enumeration date
01/21/2011
Last updated
01/30/2019
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