IRA FOWLER

RIDGELAND, MS
NPI1093015232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT0229)
Enumeration Date2010-10-21
Last Update Date2010-10-21
Business Address
-- IRA FOWLER PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
-- IRA FOWLER PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777