Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 1281 | CO |
N | 2251X0800X | Physical Therapist - Orthopedic | 1281 | CO |
NPI | 1053519066 |
---|---|
Provider Name | Francie G Powell |
First Address | Carbondale, CO 81623-0203 |
Second Address | Carbondale, CO 81623-2507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2007 |
Last Update Date | 11/07/2007 |