Provider Demographics
NPI:1336387125
Name:NOWLAND, WILLIAM (PT)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:NOWLAND
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 E NEWMAN RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48895-9330
Mailing Address - Country:US
Mailing Address - Phone:517-655-1901
Mailing Address - Fax:
Practice Address - Street 1:248 E NEWMAN RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:MI
Practice Address - Zip Code:48895-9330
Practice Address - Country:US
Practice Address - Phone:517-655-1901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501002344225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist