Individual
MARGO POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3833 W 115TH PL, ALSIP, IL 60803-6239
(708) 385-5615
Mailing address
3833 W 115TH PL, ALSIP, IL 60803-6239
(708) 385-5615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009746
IL
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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