Individual
SHEILA R BASLER POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2204 W. MONTEREY AVE., MESA, AZ 85202
(480) 695-6642
Mailing address
2204 W. MONTEREY AVE., MESA, AZ 85202
(480) 695-6642
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0034
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
583650
AHCCSS
AZ
05
—
583650
—
AZ
Enumeration date
02/12/2007
Last updated
03/01/2016
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