Provider Demographics
NPI:1407155674
Name:MURAWSKI-ROWE, CHARLENE (LMT)
Entity Type:Individual
Prefix:MS
First Name:CHARLENE
Middle Name:
Last Name:MURAWSKI-ROWE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10237 SW 59TH ST
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-6533
Mailing Address - Country:US
Mailing Address - Phone:954-612-1411
Mailing Address - Fax:954-680-2124
Practice Address - Street 1:10237 SW 59TH ST
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-6533
Practice Address - Country:US
Practice Address - Phone:954-612-1411
Practice Address - Fax:954-680-2124
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-26
Last Update Date:2011-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA4964225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist