Individual
AUTUMN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
580 S JEFFERSON AVE STE 101, COOKEVILLE, TN 38501-4672
(888) 423-2559
Mailing address
5468 LONGWOOD CIR, HIGHLANDS RANCH, CO 80130-8958
(888) 423-2559
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT6267
TN
Other
Enumeration date
07/19/2019
Last updated
07/07/2020
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