Individual
JENNIFER POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6800 S GRANITE AVE, TULSA, OK 74136-7039
(918) 491-5200
Mailing address
10125 E 26TH ST, TULSA, OK 74129-7421
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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