Individual
MRS. JENNIFER EMSWILER FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
729 W ANN ARBOR TRL, PLYMOUTH, MI 48170-1631
(734) 414-7056
Mailing address
50151 HARDING ST, CANTON, MI 48188-6712
(734) 844-6774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012210
MI
225100000X
Physical Therapist
8330
NC
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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