Individual
COURTNEY ANN MARIE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, AT
Contact information
Practice address
7677 YANKEE ST, SUITE 110, DAYTON, OH 45459-3475
(937) 401-6400
Mailing address
3536 VALLEYWOOD DR, KETTERING, OH 45429-4237
(937) 789-7407
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.003381
OH
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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