Organization
FOWLER ENTERPRISES INC
Active
Other names
East Mountain Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL WARREN FOWLER PT (AUTHORIZED REPRESENTATIVE)
(505) 220-6949
Entity
Organization
Contact information
Practice address
2005B US ROUTE 66 WEST, MORIARTY, NM 87035
(505) 832-4011
(505) 832-0434
Mailing address
PO BOX 1730, MORIARTY, NM 87035-1730
(505) 832-4011
(505) 832-0434
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1036
NM
225100000X
Physical Therapist
1037
NM
225100000X
Physical Therapist
Primary
1852
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08028079
—
NM
Enumeration date
11/21/2005
Last updated
02/09/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us