Provider Demographics
NPI:1356852099
Name:CHOW BHOLA, ALICE JULIA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:JULIA
Last Name:CHOW BHOLA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:ALICE
Other - Middle Name:JULIA
Other - Last Name:CHOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:EVERETT BONE & JOINT C/O SIDDHARTH BHOLA
Mailing Address - Street 2:1100 PACIFIC AVE SUITE 300
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4261
Mailing Address - Country:US
Mailing Address - Phone:425-339-2433
Mailing Address - Fax:
Practice Address - Street 1:EVERETT BONE & JOINT C/O SIDDHARTH BHOLA
Practice Address - Street 2:1100 PACIFIC AVE #300
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4261
Practice Address - Country:US
Practice Address - Phone:425-339-2433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-20
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22561225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist