Individual
SAMANTHA RAE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC, PES
Contact information
Practice address
107 WOODLAND RD, PITTSBURGH, PA 15232-2871
(412) 365-1470
(412) 365-1724
Mailing address
1464 HOLLYWOOD ST, PITTSBURGH, PA 15205-3432
(330) 573-1404
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT003924
OH
2255A2300X
Athletic Trainer
Primary
RT005507
PA
Other
Enumeration date
06/10/2013
Last updated
10/09/2024
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