Individual
ANTONIA A FOWLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3500 LATOUCHE ST, ANCHORAGE, AK 99508-4261
(907) 292-2567
(907) 929-2922
Mailing address
11620 COBRA AVE, ANCHORAGE, AK 99507-6336
(907) 346-3090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AA238
AK
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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