Mark Thomas Fowler, ATC Valid NPI

Individual provider · Athletic Trainer · Atherton, CA

NPI

1720252141

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

129802422 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2008-04-16

Last updated

2008-04-16