Individual
MS. CIARA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
25700 LAHSER RD, IRVINE NEURO REHABILITATION CENTER, SOUTHFIELD, MI 48033-2625
(248) 415-2500
Mailing address
14343 E 12 MILE RD, APT. A, WARREN, MI 48088-3852
(313) 895-6332
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006923
MI
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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