| NPI | 1295058782 |
|---|---|
| Former Legal Business Name | FOWLER KARATE INC |
| Entity Type | Organization |
| Authorized Contact | SHERRI DIANE FOWLER President 864-653-4177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: SC 4650) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |