Individual
JOHNATHAN SCOTT POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1438 COUNTY ROAD C E, MAPLEWOOD, MN 55109-9972
(651) 272-4500
Mailing address
3393 NORTHDALE BLVD NW APT 309, COON RAPIDS, MN 55448-1613
(859) 893-1909
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
106473
MN
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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