Provider Demographics
NPI:1265511166
Name:GOWER, EUGENE W (ATC)
Entity Type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:W
Last Name:GOWER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2338 CATASAUQUA RD
Mailing Address - Street 2:R-6
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-1061
Mailing Address - Country:US
Mailing Address - Phone:610-807-0665
Mailing Address - Fax:
Practice Address - Street 1:2809 SAUCON VALLEY RD
Practice Address - Street 2:
Practice Address - City:CENTER VALLEY
Practice Address - State:PA
Practice Address - Zip Code:18034-8447
Practice Address - Country:US
Practice Address - Phone:610-730-2119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART002178A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer