Provider Demographics
NPI:1912181009
Name:BOWER, JULIE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:BOWER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:115 BLARNEY DRIVE
Mailing Address - Street 2:STE 202
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223
Mailing Address - Country:US
Mailing Address - Phone:803-736-4845
Mailing Address - Fax:803-736-8674
Practice Address - Street 1:115 BLARNEY DRIVE
Practice Address - Street 2:STE 202
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223
Practice Address - Country:US
Practice Address - Phone:803-736-4845
Practice Address - Fax:803-736-8674
Is Sole Proprietor?:No
Enumeration Date:2007-12-26
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC5560208100000X, 225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation