Healthcare Provider Details

I. General information

NPI: 1992932602
Provider Name (Legal Business Name): STEPHANIE LOWNEY PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2009
Last Update Date: 07/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3341 E QUEEN CREEK RD 109
GILBERT AZ
85297-8503
US

IV. Provider business mailing address

5749 E GROVE CIR
MESA AZ
85206-6733
US

V. Phone/Fax

Practice location:
  • Phone: 480-621-8361
  • Fax:
Mailing address:
  • Phone: 480-240-8796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8533
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: