Individual
MR. DAVID G POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4343 HONEY LOCUST LN, BEAVERCREEK, OH 45432-1821
(937) 941-1392
Mailing address
4343 HONEY LOCUST LN, BEAVERCREEK, OH 45432-1821
(937) 941-1392
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104780061899
—
OH
Enumeration date
02/10/2021
Last updated
02/10/2021
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