Individual
TERRA JO BOWKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
564 W HAMPTON RD, ESSEXVILLE, MI 48732-9710
(989) 892-3591
Mailing address
402 BORTON AVE, ESSEXVILLE, MI 48732-1121
(989) 621-6605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004598
MI
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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