Organization
FOWLER CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA OTT (PRACTICE MANAGER)
(616) 392-3363
Entity
Organization
Contact information
Practice address
335 N 120TH AVE, HOLLAND, MI 49424-2118
(616) 392-3363
(616) 392-9030
Mailing address
335 N 120TH AVE, HOLLAND, MI 49424-2118
(616) 392-3363
(616) 392-9030
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
TF005434
MI
Other
Enumeration date
04/01/2008
Last updated
01/06/2012
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