Provider Demographics
NPI:1699392951
Name:BOWDEN THERAPY AND WELLNESS AT ALLIANCE LLC
Entity Type:Organization
Organization Name:BOWDEN THERAPY AND WELLNESS AT ALLIANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-652-1955
Mailing Address - Street 1:9800 WESLEYAN CT
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-5568
Mailing Address - Country:US
Mailing Address - Phone:704-652-1955
Mailing Address - Fax:980-256-4560
Practice Address - Street 1:1919 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-5419
Practice Address - Country:US
Practice Address - Phone:704-652-1955
Practice Address - Fax:980-256-4560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy