Individual
MRS. LARENA E POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
507 W CHEVES ST, FLORENCE, SC 29501-4449
(843) 669-1188
Mailing address
424 N CHURCH ST, MANNING, SC 29102-3310
(803) 435-0740
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2193
SC
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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