Search › Pennsylvania › 111N00000X
Tasha Powell
NPI 1821303017 · on the registry since 2010 · sole proprietor
Practice
- Address
- 836 North 3rd St
Suite 2
Philadelphia, PA 19123 - Phone
- (215) 964-9947
- Fax
- (215) 964-9655
- Organisation at this address
- Breaking Boundaries Wellness Center, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-11-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania