Individual
KEVIN DANIEL POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
250 SPRING BEACH ROAD, ROME CITY, IN 46784-9703
(309) 236-8531
Mailing address
600 TRAIL RIDGE RD, ALBION, IN 46701-1541
(260) 636-1000
(260) 636-7954
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004581A
IN
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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