Mallory Fowler, DPT, GCS

NPI #1063954527 in Columbia, Tennessee

Provider Information

NPI Number: 1063954527
Entity Type: Individual
Name: Mallory Fowler, DPT, GCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT, GCS
Enumeration Date: Nov 14, 2016
Last Updated: Oct 7, 2022

Practice Location

Address: 2710 TROTWOOD AVE
City: Columbia
State: Tennessee
ZIP Code: 38401-4903
Phone: (931) 388-7182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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