Harold Ethan Powell, | |
125 Medical Park Dr Ste 106, Andalusia, AL 36420-5302 | |
(334) 428-7040 | |
(334) 222-6983 |
Full Name | Harold Ethan Powell |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 125 Medical Park Dr Ste 106, Andalusia, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316785090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 4891 (Alabama) | Primary |
Provider Name | Encore Rehabilitation, Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1003819608 PECOS PAC ID: 3577462126 Enrollment ID: O20051103001194 |
Mailing Address | Practice Location Address |
---|---|
Harold Ethan Powell, 42465 Highway 195, Haleyville, AL 35565-7052 Ph: (256) 350-1764 | Harold Ethan Powell, 125 Medical Park Dr Ste 106, Andalusia, AL 36420-5302 Ph: (334) 428-7040 |
Stephanie Marvin, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 811 W Bypass Ste B, Andalusia, AL 36420 Phone: 334-222-2620 | |
Rachel Norman, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 811 W Bypass Ste B, Andalusia, AL 36420 Phone: 334-222-2620 | |
Andalusia Therapy Group, Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 224 S Three Notch St, Andalusia, AL 36420 Phone: 606-344-7997 | |
Mrs. Malissa Sowell Hester, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1082 Village Square Dr Ste 2, Andalusia, AL 36420 Phone: 334-222-5558 Fax: 334-222-1078 |