KELLY JO POWELL

CHARLOTTE, NC
NPI1538365317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  6247)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: SC  2704)
Enumeration Date2007-06-27
Last Update Date2007-07-08
Business Address
-- KELLY JO POWELL COTA
1619 GALLERIA CLUB LN APT 203
CHARLOTTE, NC 28270-2529
Phone number: 704-246-4297
Mailing Address
-- KELLY JO POWELL COTA
1619 GALLERIA CLUB LN APT 203
CHARLOTTE, NC 28270-2529
Phone number: 704-246-4297