Individual
MS. ANDREA T POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1444 KEMPSVILLE RD, VIRGINIA BEACH, VA 23464
(757) 474-7490
(757) 474-7931
Mailing address
PO BOX 5982, VIRGINIA BEACH, VA 23471-0982
(757) 474-7490
(757) 474-7931
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0704009537
VA
225100000X
Physical Therapist
Primary
2305006303
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010378001
—
VA
05
—
010378079
—
VA
05
—
010378117
—
VA
05
—
010378354
—
VA
05
—
010378621
—
VA
05
—
010378630
—
VA
Enumeration date
11/29/2005
Last updated
05/15/2020
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