Organization
IN HIS IMAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRIA TATE HANKS SOWELL DPT (PHYSICAL THERAPIST)
(270) 791-0613
Entity
Organization
Contact information
Practice address
630 WEDGEWOOD CIR, BOWLING GREEN, KY 42103-1448
(270) 791-0613
Mailing address
630 WEDGEWOOD CIR, BOWLING GREEN, KY 42103-1448
(270) 791-0613
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
09/07/2021
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