Individual
ALLISON DESHON FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1690 WEST HIGHWAY 192, LONDON, KY 40741-1673
(606) 877-3231
(606) 877-3632
Mailing address
383 CORBIN CENTER DRIVE, SUITE 200, CORBIN, KY 40701-1895
(606) 526-2909
(606) 526-2901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005884
KY
225100000X
Physical Therapist
070018862
IL
225100000X
Physical Therapist
10666
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01046468
MEDICARE RAILROAD
IL
Enumeration date
10/19/2011
Last updated
04/25/2017
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