Jack Douglas Bower, PTA

NPI #1982038535 in Allegan, Michigan

Provider Information

NPI Number: 1982038535
Entity Type: Individual
Name: Jack Douglas Bower, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PTA
Enumeration Date: Aug 29, 2013
Last Updated: Aug 29, 2013

Practice Location

Address: 647 ELY ST
City: Allegan
State: Michigan
ZIP Code: 49010-1541
Phone: (269) 601-0204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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