DERRICK E POWELL

LANSING, MI
NPI1760626261
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2009-04-28
Last Update Date2009-04-28
Business Address
-- DERRICK E POWELL PTA
4052 LEGACY PKWY
LANSING, MI 48911-4285
Phone number: 517-364-0125
Mailing Address
-- DERRICK E POWELL PTA
201 PARKWOOD DR APT C7
LANSING, MI 48917-3207
Phone number: 231-557-9996