Individual
SYLVIA L POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
110 LAKE RIDGE DR, MADISON, MS 39110-8291
(601) 898-8111
Mailing address
110 LAKE RIDGE DR, MADISON, MS 39110-8291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1998
MS
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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