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General NPI Number Information
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NPI Number | 1548775372
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Entity Type | Organization
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Legal Business Name | MITCH BOWERS PHYSICAL THERAPY
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Dates
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Enumeration Date | 12/01/2017
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 913 E FOURTH ST
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City | DEQUINCY
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State | LA
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Zip | 70633-3709
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Country | US
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Telephone | 337-786-7866
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Fax | 337-786-6701
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Provider Business Mailing Address
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Address Line | 913 E FOURTH ST
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City | DEQUINCY
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State | LA
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Zip | 70633-3709
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Country | US
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Telephone | 337-304-8951
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | MITCHELL KEITH BOWERS
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Credential | DPT
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Telephone | 337-304-8951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 07512
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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