Individual
MS. MARY LEE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-1573
(515) 727-8757
Mailing address
2608 NW 157TH ST, CLIVE, IA 50325-4615
(515) 770-3107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00548
IA
Other
Enumeration date
01/19/2009
Last updated
06/22/2010
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