Mark S. Powell, OT

NPI #1437470861 in Galesburg, Illinois

Provider Information

NPI Number: 1437470861
Entity Type: Individual
Name: Mark S. Powell, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jun 21, 2010
Last Updated: Jun 21, 2010

Practice Location

Address: 872 W DAYTON ST
City: Galesburg
State: Illinois
ZIP Code: 61401-1503
Phone: (309) 344-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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