Individual
JENNIFER ANN POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2501 RICE LAKE RD, DULUTH, MN 55811-4819
(218) 310-1537
Mailing address
PO BOX 6, ESKO, MN 55733-0006
(218) 310-1537
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1962
WV
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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