Powell, Andrea T

Powell, Andrea T is an individual health care provider with primary practice located at 1444 Kempsville Rd , Virginia Beach VA 23464. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Powell, Andrea T can be contacted via phone (757) 474-7490.

Contact Information

Primary practice address
1444 Kempsville Rd Virginia Beach VA 23464
Phone: (757) 474-7490
Fax: (757) 474-7931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0704009537 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305006303 Virginia

Profile Details

NPI number 1831172477
LBN Legal business name Powell, Andrea T
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated May 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831172477 NPPES
Virginia MEDICAID 010378079
Virginia MEDICAID 010378354
Virginia MEDICAID 010378621
Virginia MEDICAID 010378001
Virginia MEDICAID 010378117
Virginia MEDICAID 010378630

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