Powell, Kelly Jo

Powell, Kelly Jo is an individual health care provider with primary practice located at 1619 Galleria Club Ln Apt 203, Charlotte NC 28270-2529. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Powell, Kelly Jo can be contacted via phone (704) 246-4297.

Contact Information

Primary practice address
1619 Galleria Club Ln Apt 203 Charlotte NC 28270-2529
Phone: (704) 246-4297
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 6247 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 2704 South Carolina

Profile Details

NPI number 1538365317
LBN Legal business name Powell, Kelly Jo
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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