Provider Demographics
NPI:1437131034
Name:LOWERY, STEPHANIE M (PT, DPT, DIP MDT)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:M
Last Name:LOWERY
Suffix:
Gender:F
Credentials:PT, DPT, DIP MDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36495 VINE ST
Mailing Address - Street 2:SUITE L
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-6347
Mailing Address - Country:US
Mailing Address - Phone:440-951-2278
Mailing Address - Fax:440-951-6501
Practice Address - Street 1:36495 VINE ST
Practice Address - Street 2:SUITE L
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-6347
Practice Address - Country:US
Practice Address - Phone:440-951-2278
Practice Address - Fax:440-951-6501
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH067962251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic