Individual
RYAN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7900 SUDLEY RD STE 803, MANASSAS, VA 20109-2876
(703) 366-3948
Mailing address
7900 SUDLEY RD STE 803, MANASSAS, VA 20109-2876
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605639
VA
Other
Enumeration date
07/21/2020
Last updated
07/24/2020
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