Individual
MRS. CARRIE ANN MOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3656 MALL DRIVE, EAU CLAIRE, WI 54701
(715) 552-1035
Mailing address
3545 BRIARCREST DR, EAU CLAIRE, WI 54701-8389
(715) 835-9461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9872-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40378300
—
WI
Enumeration date
05/08/2007
Last updated
11/01/2013
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