Individual
MS. MARSOPHIA POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HWY 191 & HOSPITAL RD, CHINLE, AZ 86503-0277
(928) 674-7223
(928) 674-7559
Mailing address
PO DRAWER PH, CHINLE, AZ 86503-0277
(928) 674-7223
(928) 674-7559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8687
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004190328
—
CT
Enumeration date
11/19/2009
Last updated
07/02/2015
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