Individual
EDUARDO CAMILO POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
905 OHIO ST, VIDOR, TX 77662-6637
(713) 805-4095
Mailing address
3700 83RD ST APT 3, GALVESTON, TX 77554-9261
(832) 465-9083
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113290
TX
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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