Healthcare Provider Details

I. General information

NPI: 1598234528
Provider Name (Legal Business Name): POW-HER CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2018
Last Update Date: 02/16/2022
Certification Date: 02/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 TAFT CT STE 100
ROCKVILLE MD
20850-5310
US

IV. Provider business mailing address

4 TAFT CT STE 100
ROCKVILLE MD
20850-5310
US

V. Phone/Fax

Practice location:
  • Phone: 301-279-9009
  • Fax: 301-279-9008
Mailing address:
  • Phone: 301-279-9009
  • Fax: 301-279-9008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHERYL LEE-POW
Title or Position: OWNER
Credential: DC
Phone: 302-379-2843