Individual
TIFFANY ANN DE JESUS POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
501 W WILLIAMS ST UNIT 346, APEX, NC 27502-1998
(908) 930-2725
Mailing address
6831 FOX LANDING WAY APT 642, RALEIGH, NC 27616-7631
(908) 930-2725
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15111
NC
Other
Enumeration date
07/19/2013
Last updated
09/04/2025
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