Individual
CHEYENNE POWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6780
Mailing address
407 DELOACH RD NE, LUDOWICI, GA 31316-3251
(207) 745-9156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013919
GA
225100000X
Physical Therapist
PT4647
ME
Other
Enumeration date
08/28/2018
Last updated
07/06/2020
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