Individual
JEREMIAH FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 RESERVOIR ST, HARRISONBURG, VA 22801-4415
(603) 809-6625
Mailing address
107 COMMUNITY WAY APT 736, STAUNTON, VA 24401-4998
(603) 809-6625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/03/2022
Last updated
07/03/2022
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