Individual
AMY F POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 EAGLE WAY, WEST CHAZY, NY 12992-2562
(518) 563-8321
Mailing address
37 EAGLE WAY, WEST CHAZY, NY 12992-2562
(518) 563-8321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006639-1
NY
Other
Enumeration date
09/19/2010
Last updated
09/19/2010
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