Zachary Fowler, ATC, LAT
NPI #1912363045 in Newton, New Jersey
Provider Information
- NPI Number
- 1912363045
- Entity Type
- Individual
- Name
- Zachary Fowler, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Jan 5, 2016
- Last Updated
- Jan 5, 2016
Practice Location
- Address
- 601 HEMLOCK DR
- City
- Newton
- State
- New Jersey
- ZIP Code
- 07860-6770
- Phone
- (862) 268-0968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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