Individual
KERRY ANN POWDERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
46 NICHOLS ST, RUTLAND, VT 05701-3275
(802) 775-2941
Mailing address
10 SHAGBARK WAY, FAIRPORT, NY 14450-8920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0134328
VT
225100000X
Physical Therapist
046106
NY
Other
Enumeration date
09/09/2020
Last updated
09/17/2021
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