Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEREMIAH JERELL FOWLER
Active Sole ProprietorMR. JEREMIAH JERELL FOWLER is a Occupational Therapist healthcare provider located in POULAN, Georgia. NPI 1316220593 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · POULAN, GA
Registration Details
- NPI Number
- 1316220593
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2011 (14.928993880482 yrs)
- Last Updated
- Sep 23, 2011
- License
-
PTA002755 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
418 ELM ST SWPOULAN, GA, 317813736Browse GA providers · Browse ZIP 31781
- Phone
- 2292967907
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.