Doctor Name: | MR. JAMES BRIAN DOWLA |
NPI Number: | 1154331270 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.P.T |
License Number: | 19955 |
Business Practice Address: | 8511 Liberty Rd Suite Bb Randallstown, MD - 211334824 |
Business Phone Number: | 4434269100 |
Business Fax Number: | 4109220679 |
Mailing Address: | 790 Remington Blvd, BOLINGBROOK |
State: | IL |
Postal Code: | 604404909 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 07/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 19955 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |