Individual
SHRADHA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5715 MESA DR, AUSTIN, TX 78731-3773
(512) 454-5900
Mailing address
1212 MIAMI DR, AUSTIN, TX 78733-2548
(512) 415-7542
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212315
TX
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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