Individual
DENISE MARIE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
45 W. CROSSVILLE ROAD, SUITE 514, ROSWELL, GA 30075-2964
(770) 642-9444
(855) 223-5462
Mailing address
45 W. CROSSVILLE ROAD, SUITE 514, ROSWELL, GA 30075-2964
(770) 642-9444
(855) 223-5462
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007668
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282006299D
—
GA
05
—
898718498A
—
GA
Enumeration date
06/05/2007
Last updated
06/07/2012
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