Individual
ALLISON CHELSEA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6301 HUMBERT RD, GODFREY, IL 62035-2163
(618) 466-0367
Mailing address
629 SCHOOL AVE, EAST ALTON, IL 62024-1962
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
056.015295
IL
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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