Individual
KAYLA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5980 W 71ST ST, SUITE 200, INDIANAPOLIS, IN 46278-2711
(317) 222-1790
Mailing address
5980 W 71ST ST, SUITE 200, INDIANAPOLIS, IN 46278-2711
(317) 222-1790
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002495 A
IN
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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