Individual
CHARLES POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3036 33RD AVE S, MINNEAPOLIS, MN 55406-2021
(612) 991-7184
Mailing address
3036 33RD AVE S, MINNEAPOLIS, MN 55406-2021
(612) 991-7184
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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