Individual
MIRANDA LYNN POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 HAMPTON BLVD, NORFOLK, VA 23507-1505
(757) 623-5602
Mailing address
1359 BUCK RIDGE DR, STROUDSBURG, PA 18360-7113
(570) 994-6484
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010253
VA
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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