Individual
MARLO POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 OAK ST, FARMVILLE, VA 23901-1199
(434) 315-2920
Mailing address
PO BOX 537, KEYSVILLE, VA 23947-0537
(434) 390-3841
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006294
VA
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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