Individual
MISS MORIAH PAIGE BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, ATC, LAT
Contact information
Practice address
12421 SAN JOSE BLVD, JACKSONVILLE, FL 32223-2680
(904) 429-0290
Mailing address
7807 BAYMEADOWS RD E STE 200, JACKSONVILLE, FL 32256-9677
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 21437
FL
2255A2300X
Athletic Trainer
AL 1526
FL
Other
Enumeration date
01/03/2007
Last updated
01/23/2009
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