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NPI Code Detail

MEDICARE: SARAH JANE DOWDY PT

MEDICARE: SARAH JANE DOWDY 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 Therapist5501012386MI

General Provider Information

NPI Number : 1578787628
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH JANE DOWDY PT
Provider Business Mailing Address
First Line : 6029 8TH AVE SW APT G
Second Line :
City : GRANDVILLE
State : MI
Zip : 49418-9410
Country : US
Telephone Number : 574-361-2242
Fax Number :
Provider Business Practice Location Address
First Line : 25 CONRAN DR
Second Line :
City : COOPERSVILLE
State : MI
Zip : 49404-1366
Country : US
Telephone Number : 616-997-6172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 07/08/2007

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Directions to “ SARAH JANE DOWDY PT” Practice Location

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