| Organization Name: | FOWLER ENTERPRISES INC |
| NPI Number: | 1669455994 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERYL WARREN FOWLER (AUTHORIZED REPRESENTATIVE) |
| Mailing Address: | 2005b Us Route 66 West Moriarty |
| State: | NM US |
| Postal Code: | 87035 |
| Phone Number: | 5058324011 |
| Fax Number: | 5058320434 |
| NPI Enumeration Date: | 11/21/2005 |
| NPI Last Update Date: | 02/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1036 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| 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 |