Doctor Name: | MOLLY POWERS |
NPI Number: | 1003264946 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT31452 |
Business Practice Address: | 45390 Green Ave Ph# 904-879-1223 Callahan, FL - 320113711 |
Business Phone Number: | 9042774449 |
Business Fax Number: | 9042774177 |
Mailing Address: | Po Box 1609, CALLAHAN |
State: | FL |
Postal Code: | 320111609 |
Phone Number: | 9042774449 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2016 |
NPI Last Update Date: | 06/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT31452 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |