Individual
MARTHA R POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3917 OLD COURTHOUSE RD, SOPHIA, NC 27350-8865
(336) 491-6034
(336) 498-2146
Mailing address
3917 OLD COURTHOUSE RD, SOPHIA, NC 27350-8865
(336) 491-6034
(336) 498-2146
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
400
NC
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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