Individual
DEVYN DEAN POWELL I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
605 OAK ST, BIG RAPIDS, MI 49307-2048
(231) 878-5205
Mailing address
18577 190TH AVE, TUSTIN, MI 49688-8720
(231) 878-5205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010832
MI
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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