Individual
MRS. CHERYL W FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
12127 STATE HIGHWAY 14 N STE B3, CEDAR CREST, NM 87008-9462
(505) 286-3678
(505) 286-3688
Mailing address
12127 HIGHWAY 14 N, SUITE B3, CEDAR CREST, NM 87008-9461
(505) 286-3678
(505) 286-3688
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1037
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H1876
—
NM
Enumeration date
11/17/2006
Last updated
01/23/2012
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