| Doctor Name: | MARTHA R POWELL |
| NPI Number: | 1679898035 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L |
| License Number: | 400 |
| Business Practice Address: | 3917 Old Courthouse Rd Sophia, NC - 273508865 |
| Business Phone Number: | 3364916034 |
| Business Fax Number: | 3364982146 |
| Mailing Address: | 3917 Old Courthouse Rd, SOPHIA |
| State: | NC |
| Postal Code: | 273508865 |
| Phone Number: | 3364916034 |
| Fax Number: | 3364982146 |
| NPI Enumeration Date: | 03/29/2010 |
| NPI Last Update Date: | 03/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XN1300X |
| License Number: | 400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Neurorehabilitation |
| Taxonomy Definition: | |