Individual
CORTNEY BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 PONDEROSA DR, LADSON, SC 29456-3175
(864) 787-1551
Mailing address
245 PONDEROSA DR, LADSON, SC 29456-3175
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1458
SC
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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