Individual ProviderGerald PowellPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address42955 Ford Rd, Canton, MI 48187-3377(734) 981-2100PECOS EnrollmentBased on the most recent information from CMS, provider Gerald Powell does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1699937763Provider TypeIndividualFull NamePowell, GeraldCredentialDPTGenderMaleSole ProprietorNoEnumeration Date6/30/2008Last Updated6/16/2014Contact InformationPractice LocationPractice Address42955 Ford Rd, Canton, MI 48187-3377Phone(734) 981-2100Fax(734) 981-2622Mailing LocationMailing Address790 Remington Blvd, Bolingbrook, IL 60440-4909PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5501013845Michigan