Provider Demographics
NPI:1497278493
Name:FOWLER, CARA ELIZABETH (DPT)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:ELIZABETH
Last Name:FOWLER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 KRYSTALLE LN
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06478-1181
Mailing Address - Country:US
Mailing Address - Phone:603-978-2828
Mailing Address - Fax:
Practice Address - Street 1:285 NICOLL ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-2625
Practice Address - Country:US
Practice Address - Phone:603-978-2828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-21
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist