NPI 1346507787

Willie J Powell, COTAL

Practitioner Occupational Therapy Assistant Tupelo, MS

Practice location

Address: 2844 Traceland Dr, Tupelo, MS 38801-4200
Phone: (662) 680-3148
Mailing address: 2844 Traceland Dr., Tupelo, MS 38803

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence TA2611 (MS)

Other Occupational Therapy Assistant providers in Mississippi →

Registry record

NPI: 1346507787
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2012
Record last updated: 23 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.