Individual
CECILIA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23575 15 MILE RD, CLINTON TOWNSHIP, MI 48035-3108
(586) 285-7138
Mailing address
21863 KENTUCKY CT, CLINTON TOWNSHIP, MI 48035-5304
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006556
MI
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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