Organization
BETH POWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH POWELL (PHYSICAL THERAPIST ASSISTANT)
(770) 843-6595
Entity
Organization
Contact information
Practice address
4631 WINDCROFT CIR, HOSCHTON, GA 30548-3484
(770) 843-6595
Mailing address
4631 WINDCROFT CIR, HOSCHTON, GA 30548-3484
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
002590
GA
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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