Individual
JAKEB BOWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
672 S BAHAMA DR, GILBERT, AZ 85296-3231
(480) 703-1198
Mailing address
672 S BAHAMA DR, GILBERT, AZ 85296-3231
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12240
AZ
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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