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NPI Code Detail

MEDICARE: REBECCA FOWLER PT

MEDICARE: REBECCA FOWLER 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 Therapist9287CO

General Provider Information

NPI Number : 1649279605
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA FOWLER PT
Provider Business Mailing Address
First Line : 7025 INDEPENDENCE ST
Second Line :
City : ARVADA
State : CO
Zip : 80004-1650
Country : US
Telephone Number : 207-653-3875
Fax Number :
Provider Business Practice Location Address
First Line : 770 SIMMS ST
Second Line :
City : GOLDEN
State : CO
Zip : 80401-4702
Country : US
Telephone Number : 303-239-6060
Fax Number : 303-239-6046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 07/08/2007

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Directions to “ REBECCA FOWLER PT” Practice Location

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