Individual
JESSICA RUTH BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 POND BANK CT, LEXINGTON, SC 29072-8732
(630) 464-8629
Mailing address
225 POND BANK CT, LEXINGTON, SC 29072-8732
(630) 464-8629
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
30696
FL
225200000X
Physical Therapy Assistant
Primary
4624
SC
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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