Provider Demographics
NPI:1851837231
Name:PROWELL, ALONA LEE (OTR)
Entity Type:Individual
Prefix:
First Name:ALONA
Middle Name:LEE
Last Name:PROWELL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 TOWHEE RD
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-8249
Mailing Address - Country:US
Mailing Address - Phone:863-325-6323
Mailing Address - Fax:
Practice Address - Street 1:328 TOWHEE RD
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-8249
Practice Address - Country:US
Practice Address - Phone:863-325-6323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-10
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist