Individual
MALLORY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, GCS
Contact information
Practice address
2710 TROTWOOD AVE, COLUMBIA, TN 38401-4903
(931) 388-7182
Mailing address
3254 MECKLENBURG DR, COLUMBIA, TN 38401-5938
(731) 607-5571
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10029
TN
Other
Enumeration date
11/14/2016
Last updated
10/07/2022
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