Individual
BETHANY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 PEACHTREE DUNWOODY RD NE, BLDG 400, STE 125, SANDY SPRINGS, GA 30328-6773
(678) 587-9922
Mailing address
6600 PEACHTREE DUNWOODY RD NE, BLDG 400, STE 125, SANDY SPRINGS, GA 30328-6773
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002590
GA
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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