Individual
ALEXANDRIA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E 22ND ST STE A, LOMBARD, IL 60148-6104
(630) 919-8218
Mailing address
126 FELLOWS CT APT E, ELMHURST, IL 60126-3159
(708) 657-7843
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.015987
IL
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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