Individual
BRADLEY SCOTT FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
131 MILLER ST., COMPREHAB PLAZA, WINSTON-SALEM, NC 27103
(336) 716-8113
Mailing address
5013 MEREWORTH CT, WINSTON SALEM, NC 27104-2527
(336) 765-7552
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
8163
NC
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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