Individual
PAMELA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 OLD RIVERHEAD RD, WESTHAMPTON BEACH, NY 11978-1401
(631) 288-7767
(631) 288-7100
Mailing address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 288-7767
(631) 288-7100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000909-1
NY
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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