| Doctor Name: | JENNIFER ERLENE FOWLER |
| NPI Number: | 1073835062 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT,DPT |
| License Number: | 1194128 |
| Business Practice Address: | 620 N Alleghaney Ave Odessa, TX - 797614408 |
| Business Phone Number: | 4323328244 |
| Business Fax Number: | 4325807428 |
| Mailing Address: | 2415 Idlewilde Dr Apt 4, MIDLAND |
| State: | TX |
| Postal Code: | 797076134 |
| Phone Number: | 4329401390 |
| Fax Number: | |
| NPI Enumeration Date: | 02/18/2010 |
| NPI Last Update Date: | 03/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1194128 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |