| NPI | 1184802753 |
|---|---|
| Former Name | MARCIA JOANNE FOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 19023) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT-23800) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2011-10-13 |