Organization
MITCH BOWERS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL KEITH BOWERS DPT (PHYSICAL THERAPIST/OWNER)
(337) 304-8951
Entity
Organization
Contact information
Practice address
913 E FOURTH ST, DEQUINCY, LA 70633-3709
(337) 786-7866
(337) 786-6701
Mailing address
913 E FOURTH ST, DEQUINCY, LA 70633-3709
(337) 304-8951
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
07512
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3448670
—
LA
Enumeration date
12/01/2017
Last updated
05/11/2022
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