DUANE FOWLKES

KENNETT SQUARE, PA
NPI1073926697
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306603795)
Enumeration Date2014-06-11
Last Update Date2015-10-22
Business Address
-- DUANE FOWLKES
101 E STATE ST
KENNETT SQUARE, PA 19348-3109
Phone number: 880-486-8879
Mailing Address
-- DUANE FOWLKES
101 E STATE ST
KENNETT SQUARE, PA 19348-3109
Phone number: