Individual
MRS. BRENDA EILEEN BROYLES POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8507 NE 8TH WAY, VANCOUVER, WA 98664-1980
(360) 254-5335
(360) 892-2086
Mailing address
3302 SE 146TH PL, #160, VANCOUVER, WA 98683-5430
(360) 254-6097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003330
WA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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