Individual
LILLIBETH POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2515 PITMAN PL, PUEBLO, CO 81004-2633
(719) 404-1000
Mailing address
2515 PITMAN PL, PUEBLO, CO 81004-2633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0012019
CO
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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