Provider Demographics
NPI:1114060951
Name:POWERS, ANGELA
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:POWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CORONADO RD
Mailing Address - Street 2:PHYSICAL THERAPY
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1404
Mailing Address - Country:US
Mailing Address - Phone:401-739-1223
Mailing Address - Fax:401-739-2002
Practice Address - Street 1:25 CORONADO RD
Practice Address - Street 2:PHYSICAL THERAPY
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1404
Practice Address - Country:US
Practice Address - Phone:401-739-1223
Practice Address - Fax:401-739-2002
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist