Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 5501017292 | MI |
NPI | 1790288918 |
---|---|
Provider Name | Erin Powers |
First Address | Saginaw, MI 48603-9622 |
Second Address | Saginaw, MI 48603-9622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2018 |
Last Update Date | 14/03/2018 |