Dr. Mary E Powell St Louis
Physical Medicine & Rehabilitation Doctor
512 Saybrook Rd Suite 100
Middletown
, Connecticut 06457-4788
Dr. Mary E Powell St Louis
Physical Medicine & Rehabilitation Doctor
512 Saybrook Rd Suite 100
Middletown
, Connecticut 06457-4788
(860) 894-1882
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Mary E Powell St Louis
- 512 Saybrook Rd Suite 100
- Middletown, CT
- Zip : 06457-4788
- Fax : (860) 894-1882
- Phone : (860) 347-7636
Second Address
- Dr. Mary E Powell St Louis
- 512 Saybrook Rd Suite 100
- Middletown, CT
- Zip : 06457-4788
- Fax : (860) 894-1882
- Phone : (860) 347-7636
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 036668 | CT |
National Provider Identifier
| NPI | 1053491845 |
|---|---|
| Provider Name | Dr. Mary E Powell St Louis |
| First Address | Middletown, CT 06457-4788 |
| Second Address | Middletown, CT 06457-4788 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 11/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001366683 | (05) | CT |
| G70896 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.