Individual
MRS. DONNA BENOY KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT, MMP, CPMT
Contact information
Practice address
212 W SECOND AVE, SUITE A, GASTONIA, NC 28052-4055
(704) 813-0462
Mailing address
PO BOX 294, DALLAS, NC 28034-0294
(704) 915-5353
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9739
NC
Other
Enumeration date
02/23/2010
Last updated
09/26/2013
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