NPI 1013116904

Patricia a Mowbray, PTA

Practitioner Physical Therapy Assistant Portage, IN

Practice location

Address: 6040 Lute Rd, Portage, IN 46368-5008
Phone: (219) 763-6858
Fax: (219) 763-4858
Mailing address: 3901 Liberty Dr, Valparaiso, IN 46383-8336

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 06002550A (IN)

Other Physical Therapy Assistant providers in Indiana →

Registry record

NPI: 1013116904
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2007
Record last updated: 12 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.