Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist |
NPI | 1003231697 |
---|---|
Provider Name | Dr. Brittany Bobik Lowey |
First Address | Boston, MA 02118-2900 |
Second Address | Boston, MA 02118-2900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2014 |
Last Update Date | 13/01/2017 |