Stacy Powell, LPTA

NPI #1013373372 in Virginia Beach, Virginia

Provider Information

NPI Number: 1013373372
Entity Type: Individual
Name: Stacy Powell, LPTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Jan 1, 2016
Last Updated: Jan 1, 2016

Practice Location

Address: 5604 VIRGINIA BEACH BLVD
Address 2: SUITE 101
City: Virginia Beach
State: Virginia
ZIP Code: 23462-5631
Phone: (804) 712-3518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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