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Willie Powell, COTA/L

NPI 1346507787 · on the registry since 2012

Practice

Address: 2844 Traceland Dr
Tupelo, MS 38801
Phone: (662) 680-3148
Organisation at this address: Synchronous Medical Supply
Ltc Therapy Solutions, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: Occupational Therapy Assistant
224Z00000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-04-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi