Individual
MRS. KATIE LYNN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3214 WINCHESTER DRIVE, BENTON, AR 72015
(501) 326-6160
Mailing address
3081 GALLOWAY DR, BENTON, AR 72015-6036
(501) 860-7117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2830
AR
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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