Organization
POWELL PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN JAY SCOTT POWELL PT, DPT (PHYSICAL THERAPIST/ OWNER)
(910) 302-5200
Entity
Organization
Contact information
Practice address
2105 NC 410 HWY, BLADENBORO, NC 28320-8053
(910) 876-7424
Mailing address
416 ANTIOCH LAKES RD, NEW BERN, NC 28560-1000
(910) 551-0724
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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