Most Relevant Information
Provider Data
| NPI Number: | 1003337585 |
| Provider Name: | MARK POWELL |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 10279444-4201 |
Most Important Dates
| Enumeration Date: | 07/05/2017 |
| Last Updated: | 07/05/2017 |
Provider Practice Location
1200 E 3900 S
SALT LAKE CITY
UT
841241300
Practice Location Phone/Fax
| Phone: | 8012687111 |
| Fax: |
Provider Mailing Location
1312 E 3730 S
SALT LAKE CITY
UT
841062937
Provider Mailing Phone/Fax
| Phone: | 8016048747 |
| Fax: |