Provider Demographics
NPI:1245558592
Name:DOWE, JAMILLA (PT)
Entity Type:Individual
Prefix:
First Name:JAMILLA
Middle Name:
Last Name:DOWE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 S FRIENDSWOOD DR
Mailing Address - Street 2:SUITE #1
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4583
Mailing Address - Country:US
Mailing Address - Phone:832-221-8199
Mailing Address - Fax:281-992-4397
Practice Address - Street 1:807 S FRIENDSWOOD DR
Practice Address - Street 2:SUITE #1
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4583
Practice Address - Country:US
Practice Address - Phone:832-221-8199
Practice Address - Fax:281-992-4397
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1141141225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist