Individual
MS. CHRISTY LYNN POWDRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R./L
Contact information
Practice address
8412 HANNAH CT, FORT SMITH, AR 72903-7205
(479) 719-7679
Mailing address
8412 HANNAH CT, FORT SMITH, AR 72903-7205
(479) 719-7679
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1248
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000634860
—
OK
Enumeration date
11/01/2006
Last updated
07/09/2007
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