NPI | 1649651605 |
---|---|
Other Name | STEPHEN POWELL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP032736T) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023682) |
Enumeration Date | 2015-06-16 |
Last Update Date | 2024-12-16 |