KIMBERLY POWELL

PUEBLO WEST, CO
NPI1881951192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence:   23396)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: MD  A02969)
224Z00000X Occupational Therapy Assistant
(Licence: NC  12710)
224Z00000X Occupational Therapy Assistant
(Licence: CO  ota500004)
Enumeration Date2012-04-12
Last Update Date2021-11-10
Business Address
KIMBERLY POWELL
339 E STARDUST DR
PUEBLO WEST, CO 81007-1612
Phone number: 719-251-1922
Mailing Address
KIMBERLY POWELL
339 E STARDUST DR
PUEBLO WEST, CO 81007-1612
Phone number: