Individual
DONNA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 N CREST PL, LAKEWOOD, NJ 08701-2967
(215) 667-0708
Mailing address
1030 EDGEMORE RD, PHILA, PA 19151-3008
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC003908L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021725620001
—
PA
Enumeration date
04/09/2008
Last updated
08/13/2008
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