Individual
JILLIAN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
34421 JOHN BROWN HWY, OSAWATOMIE, KS 66064-5266
(913) 731-7429
Mailing address
34421 JOHN BROWN HWY, OSAWATOMIE, KS 66064-5266
(913) 731-7429
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
394879
KS
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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