Organization
FOWLER PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELAINE FOWLER PT, DPT, CSCS (CEO)
(336) 266-4392
Entity
Organization
Contact information
Practice address
1508 W INNES ST, SALISBURY, NC 28144-2504
(704) 630-9656
(704) 630-9658
Mailing address
142 CHURCHILL DR, SALISBURY, NC 28144-8306
(704) 630-9656
(704) 630-9658
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9707
NC
2251E1200X
Ergonomics Physical Therapist
9707
NC
2251S0007X
Sports Physical Therapist
9707
NC
2251X0800X
Orthopedic Physical Therapist
9707
NC
Other
Enumeration date
06/18/2009
Last updated
05/03/2021
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