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NPI Code Detail

MEDICARE: CARLEAH BOWLING LMT, CPHT

MEDICARE:   CARLEAH  BOWLING  LMT, CPHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistM06223MD

General Provider Information

NPI Number : 1841960234
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLEAH BOWLING LMT, CPHT
Provider Business Mailing Address
First Line : 9616 9TH AVE
Second Line :
City : BALTIMORE
State : MD
Zip : 21234-1843
Country : US
Telephone Number : 410-236-6487
Fax Number :
Provider Business Practice Location Address
First Line : 100 OWINGS CT STE 12
Second Line :
City : REISTERSTOWN
State : MD
Zip : 21136-6434
Country : US
Telephone Number : 443-814-9788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2021
Last Update Date : 09/16/2021

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Directions to “ CARLEAH BOWLING LMT, CPHT” Practice Location

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