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Individual

DYLAN BOWKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1426 BROAD RIPPLE AVE STE 200, INDIANAPOLIS, IN 46220-2002
(317) 621-3680
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015139A
IN

Other

Enumeration date
09/21/2015
Last updated
07/24/2025
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