Individual
JESSICA LYNNE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29588-4500
(843) 252-0033
Mailing address
829 PARK CHASE DR, EVANS, GA 30809-4075
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
SC
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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