Individual
CYNTHIA G POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
351 S GREENO RD, FAIRHOPE, AL 36532-1904
(251) 928-7312
(251) 928-8316
Mailing address
PO BOX 851324, MOBILE, AL 36685-1324
(251) 476-0525
(251) 476-5724
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0005
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51073563
BLUE CROSS
AL
Enumeration date
07/28/2006
Last updated
07/08/2007
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