Individual
MRS. MICHELE ROGERS BOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1713 RIDGEFIELD RD STE C, THIBODAUX, LA 70301-4399
(985) 449-0944
(985) 449-0945
Mailing address
819 COUNTRY CLUB BLVD, THIBODAUX, LA 70301-3783
(985) 228-0726
(985) 449-0945
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
04081
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1308072
—
LA
Enumeration date
12/19/2006
Last updated
07/22/2008
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