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1851011597
DYLAN TIMOTHY BOWLING
INDEPENDENCE, MO
NPI
1851011597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2022027239)
Enumeration Date
2022-09-01
Last Update Date
2022-09-01
Business Address
DYLAN TIMOTHY BOWLING PTA
2301 SOUTH MO 291 HIGHWAY
INDEPENDENCE, MO 64057
Phone number: 816-373-9328
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Mailing Address
DYLAN TIMOTHY BOWLING PTA
12211 E 47TH ST S
INDEPENDENCE, MO 64055-5601
Phone number: 816-853-6950
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