Individual
EILEEN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 EAST SECOND STREET, COUDERSPORT, PA 16915
(814) 274-9300
Mailing address
2951 COUNTY ROUTE 84, TROUPSBURG, NY 14885
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT003684L
PA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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