Anthony Baden Powell, PTA

NPI #1003471665 in Pocatello, Idaho

Provider Information

NPI Number
1003471665
Entity Type
Individual
Name
Anthony Baden Powell, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 8, 2019
Last Updated
May 8, 2019

Practice Location

Address
527 MEMORIAL DR
State
Idaho
ZIP Code
83201-4063
Phone
(208) 478-3333

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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