Individual
ETHAN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1795 DEVINNEY RD, YORK, SC 29745-2155
(803) 335-0780
Mailing address
1795 DEVINNEY RD, YORK, SC 29745-2155
(803) 335-0780
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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