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Individual

ADDISON POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
672 MARINA DR, CHARLESTON, SC 29492-8093
(843) 806-3110
Mailing address
9204 PINK FROST RD, MONCKS CORNER, SC 29461-9116

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
12/09/2025
Last updated
12/09/2025
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