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NPI Code Detail

MEDICARE: THOMAS E STOWELL DC PT

MEDICARE: THOMAS E STOWELL DC 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
1225100000XPhysical Therapist2735NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10802609Y0NH01OTHERNHBLUE CROSS
250174OTHERNHCIGNA

General Provider Information

NPI Number : 1265490767
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS E STOWELL DC PT
Provider Business Mailing Address
First Line : 501 SOUTH ST
Second Line : BOW PHYSICAL THERAPY AND SPINE CENTER
City : BOW
State : NH
Zip : 03304-3416
Country : US
Telephone Number : 603-224-5883
Fax Number : 603-224-6042
Provider Business Practice Location Address
First Line : 501 SOUTH ST
Second Line : BOW PHYSICAL THERAPY AND SPINE CENTER
City : BOW
State : NH
Zip : 03304-3416
Country : US
Telephone Number : 603-224-5883
Fax Number : 603-224-6042
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 07/08/2007

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Directions to “ THOMAS E STOWELL DC PT” Practice Location

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