Individual
ADAM POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3044 KETTERING BLVD, MORAINE, OH 45439-1922
(614) 227-6952
Mailing address
3044 KETTERING BLVD, MORAINE, OH 45439-1922
(614) 227-6952
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07221
OH
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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