MEDICARE: MICHAEL ROWLES PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	301940	CA

General Provider Information

NPI Number	:	1063922961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ROWLES PT

Provider Business Mailing Address
First Line	:	3930 PALL MALL CT
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94558-2226
Country	:	US
Telephone Number	:	707-287-0957
Fax Number	:

Provider Business Practice Location Address
First Line	:	433 SOSCOL AVE # B19
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94559-4036
Country	:	US
Telephone Number	:	707-900-2368
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2017
Last Update Date	:	04/14/2022

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Directions to “ MICHAEL ROWLES PT” Practice Location

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