Individual
ERIC ROSS POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4000 HOLLYWOOD BLVD APT 600N, HOLLYWOOD, FL 33021-6863
(928) 201-2334
Mailing address
2865 GRANDHILL RD, BULLHEAD CITY, AZ 86442-8512
(928) 201-2334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3298
AZ
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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