Individual
MRS. KATHLEEN R. POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
455 N 3RD ST, PHOENIX, AZ 85004-3924
(602) 528-3450
Mailing address
15027 S 14TH PL, PHOENIX, AZ 85048-6243
(480) 460-4242
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4333
AZ
225XP0200X
Pediatric Occupational Therapist
4333
AZ
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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