Individual
MS. JOANIE CHARLOTTE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6301 GASTON AVE STE 750, DALLAS, TX 75214-3922
(214) 295-5374
Mailing address
6301 GASTON AVE STE 750, DALLAS, TX 75214-3922
(817) 905-4220
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
108285
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811917206
—
TX
Enumeration date
02/08/2018
Last updated
06/16/2018
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