Individual
CANDYCE ANN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
88 ROWLAND WAY STE 250, NOVATO, CA 94945-5062
(415) 898-1311
(415) 897-0741
Mailing address
88 ROWLAND WAY STE 250, NOVATO, CA 94945-5062
(415) 898-1311
(415) 897-0741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10998
MN
225100000X
Physical Therapist
Primary
24218
CA
Other
Enumeration date
05/10/2006
Last updated
08/21/2023
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