Provider Demographics
NPI:1114929692
Name:ROWLAND, GEORGE TOWERS III (PT, OCS, CERTMDT)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:TOWERS
Last Name:ROWLAND
Suffix:III
Gender:M
Credentials:PT, OCS, CERTMDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 LEES LN
Mailing Address - Street 2:
Mailing Address - City:HADDON TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08107-1030
Mailing Address - Country:US
Mailing Address - Phone:856-858-8222
Mailing Address - Fax:856-858-8222
Practice Address - Street 1:121 LEES LN
Practice Address - Street 2:
Practice Address - City:HADDON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08107-1030
Practice Address - Country:US
Practice Address - Phone:856-858-8222
Practice Address - Fax:856-858-8222
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-13
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00248000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ40QA00248000OtherPHYSICAL THERAPY LICENSE
NJ22-2180568OtherTIN
NJ40QA00248000OtherPHYSICAL THERAPY LICENSE
NJR30357Medicare UPIN