Individual
MRS. JARNETTA LATRICE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7909 MARNE RD. BLDG 9256, FT MOORE, GA 31905-7011
(706) 626-2604
Mailing address
3 WEXTON CT, COLUMBUS, GA 31907-7011
(706) 563-5873
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00361
GA
Other
Enumeration date
10/03/2007
Last updated
07/16/2024
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