Provider Demographics
NPI:1619586864
Name:POWERS, CORABETH (OT)
Entity Type:Individual
Prefix:
First Name:CORABETH
Middle Name:
Last Name:POWERS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 MERRIMON AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1244
Mailing Address - Country:US
Mailing Address - Phone:828-785-4700
Mailing Address - Fax:828-552-5566
Practice Address - Street 1:260 MERRIMON AVE STE 100
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1244
Practice Address - Country:US
Practice Address - Phone:828-785-4700
Practice Address - Fax:828-552-5566
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist