Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | T-6410 | MD |
Y | 2251S0007X | Physical Therapist - Sports | 22764 | MD |
N | 2251S0007X | Physical Therapist - Sports | PT871627 | DC |
N | 2251X0800X | Physical Therapist - Orthopedic | 22764 | MD |
NPI | 1417109810 |
---|---|
Provider Name | Dr. John Jowers |
First Address | Rockville, MD 20850-5792 |
Second Address | Chevy Chase, MD 20815 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2008 |
Last Update Date | 06/01/2022 |