Individual
BETH POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3908 VALLEY AVE STE B, PLEASANTON, CA 94566-4872
(925) 417-8005
(925) 417-8881
Mailing address
3908 VALLEY AVE STE B, PLEASANTON, CA 94566-4872
(925) 417-8005
(925) 417-8881
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT33531
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT33531
PHYSICAL THERAPIST LICENSE
CA
Enumeration date
03/07/2019
Last updated
03/07/2019
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