WILLIE J POWELL

TUPELO, MS
NPI1346507787
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA2611)
Enumeration Date2012-04-23
Last Update Date2012-04-23
Business Address
-- WILLIE J POWELL COTa/L
2844 TRACELAND DR
TUPELO, MS 38801-4200
Phone number: 662-680-3148
Mailing Address
-- WILLIE J POWELL COTa/L
2844 TRACELAND DR.
TUPELO, MS 38803
Phone number:
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