Individual
MARY POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1215 KINGSLEY AVE, ORANGE PARK, FL 32073-4631
(904) 269-8922
Mailing address
12142 DEEDER LN, JACKSONVILLE, FL 32258-4206
(904) 704-6943
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA7261
FL
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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