Healthcare Provider Details

I. General information

NPI: 1841512449
Provider Name (Legal Business Name): FOWLER PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2010
Last Update Date: 02/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 N 6TH ST
FOWLER CA
93625-2332
US

IV. Provider business mailing address

108 N 6TH ST
FOWLER CA
93625-2332
US

V. Phone/Fax

Practice location:
  • Phone: 559-834-9690
  • Fax: 559-834-9691
Mailing address:
  • Phone: 559-834-9690
  • Fax: 559-834-9691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number26831
License Number StateCA

VIII. Authorized Official

Name: MR. KURT B KARLE
Title or Position: PRESIDENT
Credential: PT
Phone: 559-834-9690