Organization
JAMES A POWELL
Active
Other names
St Marys Physical Therapy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A POWELL PT (OWNER)
(304) 684-2248
Entity
Organization
Contact information
Practice address
1851 N PLEASANTS HWY, SAINT MARYS, WV 26170-8511
(304) 684-2248
(304) 684-2250
Mailing address
1851 N PLEASANTS HWY, SAINT MARYS, WV 26170-8511
(304) 684-2248
(304) 684-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000582
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156104000
—
WV
05
—
0704885
—
OH
Enumeration date
04/10/2007
Last updated
06/17/2008
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