SIMON CHARLES FOWLER

KENNESAW, GA
NPI1811693674
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA005007)
Enumeration Date2023-02-03
Last Update Date2023-02-03
Business Address
SIMON CHARLES FOWLER PTA
1615 RIDENOUR BLVD NW
KENNESAW, GA 30152-4463
Phone number: 770-580-8070
Mailing Address
SIMON CHARLES FOWLER PTA
3393 ORANGE LN NW
ACWORTH, GA 30101-6372
Phone number: 404-600-7684
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