Organization
ADVANCED PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE L LOWER P.T. (OWNER)
(937) 424-5607
Entity
Organization
Contact information
Practice address
7626 PARAGON RD, CENTERVILLE, OH 45459-4049
(937) 424-5607
(937) 425-0032
Mailing address
7626 PARAGON RD, CENTERVILLE, OH 45459-4049
(937) 424-5607
(937) 425-0032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2689505
—
OH
Enumeration date
07/06/2006
Last updated
03/28/2008
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