Provider Demographics
NPI:1932331428
Name:POWERS, DONNA MARIE (OTR/L)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:POWERS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6350 EUBANK BLVD NE
Mailing Address - Street 2:APT. 724
Mailing Address - City:ALBUQUERUQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111
Mailing Address - Country:US
Mailing Address - Phone:860-982-1064
Mailing Address - Fax:
Practice Address - Street 1:6350 EUBANK BLVD NE
Practice Address - Street 2:APT. 724
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-7358
Practice Address - Country:US
Practice Address - Phone:860-982-1064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2588225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist