MICHAEL EDISON POWELL

TYLER, TX
NPI1831419647
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2076407)
Enumeration Date2010-06-03
Last Update Date2013-01-09
Business Address
-- MICHAEL EDISON POWELL PTA
11937 US HIGHWAY 271
TYLER, TX 75708-3154
Phone number: 903-877-8703
Mailing Address
-- MICHAEL EDISON POWELL PTA
912 W NOBLE ST
TROUP, TX 75789-1702
Phone number: 903-843-1948
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