JACK DOUGLAS BOWER

ALLEGAN, MI
NPI1982038535
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5502003851)
Enumeration Date2013-08-29
Last Update Date2013-08-29
Business Address
-- JACK DOUGLAS BOWER PTA
647 ELY ST
ALLEGAN, MI 49010-1541
Phone number: 269-601-0204
Mailing Address
-- JACK DOUGLAS BOWER PTA
647 ELY ST
ALLEGAN, MI 49010-1541
Phone number: 269-601-0204