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NPI Code Detail

MEDICARE: DR. ANDREA NICOLE BOWENS PT

MEDICARE:  DR. ANDREA NICOLE BOWENS  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 TherapistPTH5588AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11003819608OTHERALGROUP NPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598995888
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREA NICOLE BOWENS PT
Provider Business Mailing Address
First Line : 1908 FLINT RD SE
Second Line :
City : DECATUR
State : AL
Zip : 35601-6031
Country : US
Telephone Number : 256-340-9708
Fax Number : 256-340-9624
Provider Business Practice Location Address
First Line : 5291 VALLEYDALE RD
Second Line : SUITE 113
City : BIRMINGHAM
State : AL
Zip : 35242-7705
Country : US
Telephone Number : 205-408-4123
Fax Number : 205-408-4189
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2009
Last Update Date : 02/21/2023

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