Individual
MADELINE MARIE POWELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 N 44TH ST, PHOENIX, AZ 85018-3800
(602) 808-8989
Mailing address
4456 S FREQUENCY, MESA, AZ 85212-8782
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
31958
AZ
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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