Individual
DEBORAH POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
300 LYNDALE AVE, STATEN ISLAND, NY 10312-6127
(718) 967-5298
Mailing address
300 LYNDALE AVE, STATEN ISLAND, NY 10312-6127
(718) 967-5298
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
012288-1
NY
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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