Individual
CRYSTAL D POWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3350
Mailing address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002850
MI
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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