MEDICARE: COLIN P BOWLES DPT

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	PT29539	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609951565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLIN P BOWLES DPT

Provider Business Mailing Address
First Line	:	8705 DELTA ST
Second Line	:
City	:	LA MESA
State	:	CA
Zip	:	91942-3210
Country	:	US
Telephone Number	:	619-460-0899
Fax Number	:

Provider Business Practice Location Address
First Line	:	4909 MURPHY CANYON RD
Second Line	:	STE 110
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-4349
Country	:	US
Telephone Number	:	800-478-6856
Fax Number	:	800-863-2978

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

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	07/08/2007

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Directions to “ COLIN P BOWLES DPT” Practice Location

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