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Gerald
Gerald
Bowman
Physical therapist assistant
Melbourne, United States
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Florida Health Care Practitioner Data Portal
Full name
Gerald Bowman
Job Title
Physical Therapist Assistant
Location
Melbourne, FL, USA
LIC ID
17628
Current License Expiration Date
30/11/2025
Original Date
18/07/2018
Professional Rank Code
PTA
Effective Date
18/07/2018
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
BREVARD
Mailing Address Line 2
Unit 12-514
Practice Location Address Line 1
3802 Murrell Road
Practice Location Address City
ROCKLEDGE
Practice Location Address State
FL
Practice Location Address Zipcode
32955
Prescribing Indicator
N
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