Jack Douglas Bower, PTA | |
647 Ely St, Allegan, MI 49010-1541 | |
(269) 601-0204 | |
Not Available |
Full Name | Jack Douglas Bower |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 647 Ely St, Allegan, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982038535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5502003851 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jack Douglas Bower, PTA 647 Ely St, Allegan, MI 49010-1541 Ph: (269) 601-0204 | Jack Douglas Bower, PTA 647 Ely St, Allegan, MI 49010-1541 Ph: (269) 601-0204 |
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