| Carlie Powell, | |
|
318 S Norwood St, Wallace, NC 28466-1446 | |
| (910) 285-1799 | |
| Not Available |
| Full Name | Carlie Powell |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Physical Rehabilitation |
| Location | 318 S Norwood St, Wallace, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497437784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Vidant Medical Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Provider Name | Duplin Health Care Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1093067431 PECOS PAC ID: 7517119829 Enrollment ID: O20121213000328 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlie Powell, 318 S Norwood St, Wallace, NC 28466-1446 Ph: () - | Carlie Powell, 318 S Norwood St, Wallace, NC 28466-1446 Ph: (910) 285-1799 |
Madison Deloney, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 647 S East Railroad St, Wallace, NC 28466 Phone: 910-285-9700 | |
Olivia Austen Trull, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4026 S Nc 11 Hwy, Wallace, NC 28466 Phone: 910-285-9050 |