Individual
DEVIN POWELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFO, COA
Contact information
Practice address
7301 FOREST AVE STE 202, RICHMOND, VA 23226-3792
(804) 533-7272
(804) 418-3127
Mailing address
413 WALTHALL RIDGE DR, SOUTH CHESTERFIELD, VA 23834-6847
(804) 405-9217
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588202105
—
VA
Enumeration date
01/25/2022
Last updated
01/25/2022
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