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Individual

MICHAEL POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
209 RIVERWIND E, SUITE B, PEARL, MS 39208
(601) 383-1247
(601) 510-9500
Mailing address
209 RIVERWIND E, SUITE B, PEARL, MS 39208
(601) 383-1247
(601) 510-9500

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
02/23/2009
Last updated
02/15/2016
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