# WILLOW BAY PEDIATRIC PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Willow Bay Pediatric Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790631711
- **Authorized official:** LAUREN EMILY BOWLING PT, DPT (ORGANIZER/OWNER)
- **Authorized official phone:** (251) 214-5530

## Contact information

- **Practice address:** 304 FLY CREEK AVE UNIT 2202, FAIRHOPE, AL 36532-3524
- **Practice address phone:** (251) 214-5530
- **Practice address fax:** (251) 235-8839
- **Mailing address:** 12 AZALEA CT, FAIRHOPE, AL 36532-1757
- **Mailing address phone:** (251) 214-5530
- **Mailing address fax:** (251) 235-8839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2026
- **Last updated:** 04/01/2026