MEDICARE: BRIAN JAMES BOWERS 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
1	225100000X	Physical Therapist	PTH3262	AL

General Provider Information

NPI Number	:	1487714200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN JAMES BOWERS PT

Provider Business Mailing Address
First Line	:	3102 TABLE ROCK DR SW
Second Line	:
City	:	HARTSELLE
State	:	AL
Zip	:	35640-7252
Country	:	US
Telephone Number	:	256-773-0479
Fax Number	:	256-773-0479

Provider Business Practice Location Address
First Line	:	3102 TABLE ROCK DR SW
Second Line	:
City	:	HARTSELLE
State	:	AL
Zip	:	35640-7252
Country	:	US
Telephone Number	:	256-773-0479
Fax Number	:	256-773-0479

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	07/08/2007

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Directions to “ BRIAN JAMES BOWERS PT” Practice Location

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