| Organization Name: | BETH POWELL |
| NPI Number: | 1477880854 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BETH POWELL (PHYSICAL THERAPIST ASSISTANT) |
| Mailing Address: | 4631 Windcroft Cir Hoschton |
| State: | GA US |
| Postal Code: | 305483484 |
| Phone Number: | 7708436595 |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2009 |
| NPI Last Update Date: | 11/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283X00000X |
| License Number: | 002590 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Rehabilitation Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |