TARA SUZANNE POWELL

PADUCAH, KY
NPI1902144165
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: KY  A5079)
Enumeration Date2013-01-23
Last Update Date2013-01-23
Business Address
-- TARA SUZANNE POWELL COTA/L
501 N 3RD ST
PADUCAH, KY 42001-0749
Phone number: 270-444-9661
Mailing Address
-- TARA SUZANNE POWELL COTA/L
PO BOX 821
VIENNA, IL 62995-0821
Phone number: 618-771-6838
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