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Search › Georgia › 225200000X

Simon Fowler, PTA

NPI 1811693674 · on the registry since 2023 · sole proprietor

Practice

Address
1615 Ridenour Blvd Nw
Kennesaw, GA 30152
Phone
(770) 580-8070
Organisation at this address
Optimist Llc
Eecarman Od Pc
Pt Solutions Of Acworth Llc
Nexslim Of Cobb County, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia