Individual
RETHA YVETTE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8116 GOOD LUCK RD, 200, LANHAM, MD 20706-3502
(301) 599-9500
Mailing address
7404 EXECUTIVE PL, 300B, LANHAM, MD 20706-2268
(301) 599-9500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03020
MD
Other
Enumeration date
08/21/2007
Last updated
03/09/2015
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