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NPI Code Detail

MEDICARE: MRS. KATRINA LAVERNE POWELL-BELL OTR/L

MEDICARE: MRS. KATRINA LAVERNE POWELL-BELL OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist2963NC

General Provider Information

NPI Number : 1477719235
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATRINA LAVERNE POWELL-BELL OTR/L
Provider Business Mailing Address
First Line : PO BOX 308
Second Line :
City : KELFORD
State : NC
Zip : 27847-0308
Country : US
Telephone Number : 252-344-2009
Fax Number :
Provider Business Practice Location Address
First Line : 1075 US HIGHWAY 17 S
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-7628
Country : US
Telephone Number : 252-338-3975
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2008
Last Update Date : 07/31/2008

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