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Individual
MRS. MARY M POWELL-PENRITH
Active
Individual
MRS. MARY M POWELL-PENRITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
PT 11967
CA
225100000X
Physical Therapist
Primary
PT 11967
CA
2251X0800X
Orthopedic Physical Therapist
PT 11967
CA
Other
Enumeration date
12/12/2006
Last updated
09/16/2016
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