Individual
MRS. CRISTAL ANN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5210 BROKEN BOW LN, BIRMINGHAM, AL 35242-3223
(334) 750-0400
Mailing address
5210 BROKEN BOW LN, BIRMINGHAM, AL 35242-3223
(334) 750-0400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5687
AL
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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