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NPI Code Detail

MEDICARE: MS. STEPHANIE FOWLER PT

MEDICARE: MS. STEPHANIE FOWLER 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 Therapist10558TN
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1588952543
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STEPHANIE FOWLER PT
Provider Business Mailing Address
First Line : 1600 JOHN ROLFE PKWY
Second Line :
City : RICHMOND
State : VA
Zip : 23238-8110
Country : US
Telephone Number : 804-750-2183
Fax Number : 804-750-1078
Provider Business Practice Location Address
First Line : 1600 JOHN ROLFE PKWY
Second Line :
City : RICHMOND
State : VA
Zip : 23238-8110
Country : US
Telephone Number : 804-750-2183
Fax Number : 804-750-1078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2011
Last Update Date : 02/18/2019

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