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Individual

ASHLEY RAENEE POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
2111 RIVERWALK DR, MOORE, OK 73160-2700
(405) 793-7885
(405) 793-7893
Mailing address
3917 EDGEBROOK CT, MIDLAND, TX 79707-1434
(432) 288-3159

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1343764
TX
225100000X
Physical Therapist
4942
OK

Other

Enumeration date
06/21/2017
Last updated
07/21/2022
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