Provider Demographics
NPI:1730304908
Name:ROWE, ANN (CMT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:ROWE
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 CATTAIL RUN RD
Mailing Address - Street 2:
Mailing Address - City:CHARLES TOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25414-4296
Mailing Address - Country:US
Mailing Address - Phone:410-869-0908
Mailing Address - Fax:
Practice Address - Street 1:83 CATTAIL RUN RD
Practice Address - Street 2:
Practice Address - City:CHARLES TOWN
Practice Address - State:WV
Practice Address - Zip Code:25414-4296
Practice Address - Country:US
Practice Address - Phone:410-869-0908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM02009174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist