Jennifer Powelson
Occupational Therapy Assistant in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1427454792
StatusActive
Last updated in NPPESNov 13, 2014
Details
- NPI
- 1427454792
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Powelson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2014
- Last updated
- Nov 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 32001187A | IN | Yes |
Other names
- Jennifer Powelson (Professional Name)
Practice location
10445 Dupont Oaks BlvdFort Wayne, IN 46845-8792
Phone 260-471-4770
Mailing address
18126 Lincoln Hwy EMonroeville, IN 46773-9788
Phone 260-348-0632
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All 120 Occupational Therapy Assistant providers in Fort Wayne · All 11,302 providers in Fort Wayne
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