Individual
BRENT FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7945
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(816) 582-0290
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0008480
CO
Other
Enumeration date
08/06/2024
Last updated
09/03/2025
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