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Individual

MS. CAROL FRYE POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
440 CENTRAL AVENUE, LEXINGTON, NC 27292-2634
(336) 236-6546
(336) 236-9546
Mailing address
PO BOX 587, LEXINGTON, NC 27293-0587
(336) 236-6546
(336) 236-9546

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0149
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7368681
NC
Enumeration date
02/06/2007
Last updated
07/01/2014
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