Individual
ANDREA K FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 MAIN ST, HORDVILLE, NE 68846-9705
(402) 757-3354
Mailing address
112 MAIN ST, HORDVILLE, NE 68846-9705
(402) 757-3354
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
989
NE
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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