Provider Demographics
NPI:1538288063
Name:BOWER, DAVID (LPTA)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:BOWER
Suffix:
Gender:M
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 WILLIAMSON ST
Mailing Address - Street 2:APT E-1
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-7372
Mailing Address - Country:US
Mailing Address - Phone:336-227-6614
Mailing Address - Fax:
Practice Address - Street 1:REHAB & HEALTHCARE CENTER OF ALAMANCE
Practice Address - Street 2:779 WOODY DR
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253
Practice Address - Country:US
Practice Address - Phone:336-228-9562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1425225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant