Individual
HEATHER FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3303 US HIGHWAY 70 E, NEW BERN, NC 28560-6929
(252) 672-8680
Mailing address
204 JUANITA LN, NEW BERN, NC 28560-8208
(860) 796-0991
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
12026
NC
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
406270
NBCOT
—
Enumeration date
08/14/2018
Last updated
11/04/2024
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