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NPI Code Detail

MEDICARE: CARLEY BOWMAN PT, DPT

MEDICARE: CARLEY BOWMAN PT, 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
1225100000XPhysical Therapist3129345TX

General Provider Information

NPI Number : 1790415438
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLEY BOWMAN PT, DPT
Provider Business Mailing Address
First Line : 6020 W PARKER RD STE 240
Second Line :
City : PLANO
State : TX
Zip : 75093-0004
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6020 W PARKER RD STE 240
Second Line :
City : PLANO
State : TX
Zip : 75093-0004
Country : US
Telephone Number : 972-378-1438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2022
Last Update Date : 06/21/2022

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Directions to “ CARLEY BOWMAN PT, DPT” Practice Location

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