Individual
MRS. LAINA MARGUERITE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
113 E BOCKMAN WAY, SUITE 102, SPARTA, TN 38583-2061
(931) 836-2221
(931) 836-2223
Mailing address
PO BOX 884, SPARTA, TN 38583-0884
(931) 836-2221
(931) 836-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7612
TN
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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