Individual
MICHAEL POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2035 CHESTER AVE, OTTUMWA, IA 52501-3715
(641) 684-9313
Mailing address
28 N 3RD ST, ALBIA, IA 52531-1843
(641) 932-4096
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005035
IA
225200000X
Physical Therapy Assistant
2110469
TX
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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