Individual
EBONI BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4570 REESE RD STE B, COLUMBUS, GA 31907-1177
(706) 987-9108
Mailing address
5606 DEARBORN AVE, COLUMBUS, GA 31909-5536
(706) 987-9108
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6169
AL
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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