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Individual

DONALD FOWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2125 S 61ST ST, TEMPLE, TX 76504-6823
(254) 774-9991
(866) 340-6725
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 76053
(817) 292-7878
(827) 789-6849

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2120176
TX

Other

Enumeration date
07/23/2018
Last updated
07/23/2018
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