Individual
BERTHEL POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA/RKT
Contact information
Practice address
11301 WILSHIRE BLVD # 117, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4935
Mailing address
4615 MAYTIME LN, CULVER CITY, CA 90230-5070
(310) 478-3711
(310) 268-4935
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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