Provider Demographics
NPI:1396985800
Name:BOWERS, ROBIN S (PT,MS, DPT)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:S
Last Name:BOWERS
Suffix:
Gender:F
Credentials:PT,MS, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 WOODY RD
Mailing Address - Street 2:
Mailing Address - City:GREEN MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28740-6221
Mailing Address - Country:US
Mailing Address - Phone:907-841-7124
Mailing Address - Fax:866-719-8514
Practice Address - Street 1:640 WOODY RD
Practice Address - Street 2:
Practice Address - City:GREEN MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28740-6221
Practice Address - Country:US
Practice Address - Phone:907-841-7124
Practice Address - Fax:866-719-8514
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-23
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK16282251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics