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Derrick E Powell, PTA

Physical Therapy Assistant in Lansing, MI. Individual provider (NPI-1).

NPI number1760626261
StatusActive
Last updated in NPPESApr 28, 2009

Details

NPI
1760626261
Entity type
Individual (NPI-1)
Name
Derrick E Powell
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
Apr 28, 2009
Last updated
Apr 28, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant––Yes

Practice location

4052 Legacy Pkwy
Lansing, MI 48911-4285

Phone 517-364-0125

Mailing address

201 Parkwood Dr Apt C7
Lansing, MI 48917-3207

Phone 231-557-9996

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