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Individual

BRIDGET FOWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-1000
Mailing address
841 W GEORGE ST, #1, CHICAGO, IL 60657-5113
(319) 213-2352

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-019560
IL

Other

Enumeration date
11/02/2012
Last updated
11/02/2012
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