Individual
JENNA DEANNE MCCOY-POWLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, RN
Contact information
Practice address
2702 DEER RUN, ZIONSVILLE, IN 46077-8899
(317) 777-0073
(317) 663-1154
Mailing address
2702 DEER RUN, ZIONSVILLE, IN 46077-8899
(317) 344-2341
(317) 663-1154
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31005144A
IN
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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