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Individual

MRS. BROOKE AUTUMN BOWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
1910 BLANDING ST, COLUMBIA, SC 29201-3520
(803) 256-4107
Mailing address
915 HOOK AVE, WEST COLUMBIA, SC 29169-5332
(803) 926-8600

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5278
SC

Other

Enumeration date
03/23/2023
Last updated
04/03/2026
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