Individual
JEFFREY R. POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
410 10TH AVE W, PALMETTO, FL 34221-5032
(941) 722-3582
(941) 729-8322
Mailing address
410 10TH AVE W, PALMETTO, FL 34221-5032
(941) 722-3582
(941) 729-8322
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 21368
FL
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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