Individual
ASHTON SUE NICOLE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 WASHINGTON ST, ROCKPORT, IN 47635-1252
(812) 649-2276
Mailing address
6456 AUTUMN VALLEY TRCE, UTICA, KY 42376-9199
(270) 315-6455
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
246963
KY
224Z00000X
Occupational Therapy Assistant
Primary
32003698A
IN
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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