Provider Demographics
NPI:1144298670
Name:GOWER, JOSLYN LYNN (DPT)
Entity type:Individual
Prefix:MRS
First Name:JOSLYN
Middle Name:LYNN
Last Name:GOWER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JOSLYN
Other - Middle Name:LYNN
Other - Last Name:LEACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:100 GREEN LN
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-5600
Mailing Address - Country:US
Mailing Address - Phone:215-826-0166
Mailing Address - Fax:
Practice Address - Street 1:100 GREEN LN
Practice Address - Street 2:SUITE 1
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-5600
Practice Address - Country:US
Practice Address - Phone:215-826-0166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT017509225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist