Chad M Bowman, A.T.C, L.A.T
Specialist/Technologist, Athletic Trainer in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1235566506
StatusActive
Last updated in NPPESOct 2, 2013
Details
- NPI
- 1235566506
- Entity type
- Individual (NPI-1)
- Name
- Chad M Bowman
- Credential
- A.T.C, L.A.T
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2013
- Last updated
- Oct 2, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 0126001763 | VA | Yes |
Practice location
184 Business Park DrVirginia Beach, VA 23462-6533
Phone 336-382-0689
Mailing address
184 Business Park DrVirginia Beach, VA 23462-6533
Phone 336-382-0689
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