Individual
AMY MELINDA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
555 E MARKET ST, ELMIRA, NY 14901-3223
(607) 733-6541
Mailing address
106 DIVISION ST, SAYRE, PA 18840-2905
(570) 888-1340
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002284-1
NY
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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