Individual
ANN K. POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
83 CHARLES ST, BOSTON, MA 02114-4608
(617) 720-1992
Mailing address
11 CROSS ST, SOUTH GRAFTON, MA 01560-1103
(631) 561-7114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2135
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1612816
—
MA
01
—
Y36607
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/28/2007
Last updated
07/08/2007
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