Individual
MS. CHARICA M BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
2929 E 96TH ST STE D, INDIANAPOLIS, IN 46240-1303
(317) 986-0663
Mailing address
2929 E 96TH ST STE D, INDIANAPOLIS, IN 46240-1303
(317) 986-0663
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20900910
IN
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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