Individual
DERRICK LLOYD BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3102 RAINBOW DR STE 200, RAINBOW CITY, AL 35906-5804
(256) 549-6387
(256) 549-6391
Mailing address
8205 PRESIDENTS DR, HUMMELSTOWN, PA 17036-8621
(717) 839-2159
(717) 565-1104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA9602
AL
Other
Enumeration date
09/06/2019
Last updated
10/23/2019
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