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Brenda Eileen Broyles Powell, PT

Physical Therapist in Vancouver, WA. Individual provider (NPI-1).

NPI number1801006002
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1801006002
Entity type
Individual (NPI-1)
Name
Mrs. Brenda Eileen Broyles Powell
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
May 23, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT00003330WAYes

Practice location

8507 Ne 8th Way
Vancouver, WA 98664-1980

Phone 360-254-5335 · Fax 360-892-2086

Mailing address

3302 Se 146th Pl
#160
Vancouver, WA 98683-5430

Phone 360-254-6097

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