Individual
CORTNEY FOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
530 N HOUGH ST, SUITE 130, BARRINGTON, IL 60010-3087
(847) 381-0090
(847) 381-0181
Mailing address
530 ROCKLAND RD, STE 500, CRYSTAL LAKE, IL 60014-4137
(847) 381-0090
(847) 381-0181
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-016726
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22736
LICENSE#
FL
Enumeration date
11/07/2006
Last updated
08/10/2021
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