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Alfred Bowen JR.
Massage Therapist in Costa Mesa, California
NPI 1366082653

Alfred Bowen JR. is a Massage Therapist based in Santa Ana, CA. Alfred Bowen JR. practices in Costa Mesa, CA. The NPI Number for Alfred Bowen JR. is 1366082653 and holds a License No. 74630 (California).

The current practice location address for Alfred Bowen JR. is 2651 Irvine Ave Ste 122, Costa Mesa, CA and can be reached out via phone at 214-669-0424.

Location: 2651 Irvine Ave Ste 122, Costa Mesa, CA, 92701-4940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366082653
Provider Name
Alfred Bowen JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2651 Irvine Ave Ste 122, Costa Mesa, CA, 92701-4940
Phone Number
214-669-0424
Fax Number
Provider Enumeration Date
01/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
API-ABMP-17 01 CA ASSOCIATED BODYWORK & MASSAGE PROFESSIONALS
institution
Provider Business Practice Location Address Details
Address
2651 Irvine Ave Ste 122
City
Costa Mesa
State
California
Zip
92627-6645
Phone Number
214-669-0424
Fax Number
person
Provider Business Mailing Address Details
Address
2651 Irvine Ave Ste 122
City
Costa Mesa
State
California
Zip
92627-6645
Phone Number
214-669-0424
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
74630 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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