Individual
LAURA JANE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
145 N LINCOLN WAY, GALT, CA 95632-1720
(540) 641-1438
Mailing address
280 OAK AVE APT 46, GALT, CA 95632-1570
(540) 641-1438
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
03/17/2018
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