Dejuan Powell

NPI #1649865924 in Coweta, Oklahoma

Provider Information

NPI Number: 1649865924
Entity Type: Individual
Name: Dejuan Powell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 8, 2021
Last Updated: Sep 3, 2021

Practice Location

Address: 12641 S STATE HIGHWAY 51
City: Coweta
State: Oklahoma
ZIP Code: 74429-6476
Phone: (918) 486-1357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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