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Individual
KATHERINE FERRELL POGUE
Active
Individual
KATHERINE FERRELL POGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1566
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025329
CIGNA
—
01
—
1740443886
BLUE CROSS BLUE SHIELD
—
05
—
200200920A
—
OK
01
—
73-1601757
HEALTHCHOICE
OK
01
—
73-1601757
TRICARE/ HUMANA
—
01
—
9659353
AETNA
OK
01
—
G3207
PREFERRED COMMUNITYCARE
OK
Enumeration date
07/09/2008
Last updated
03/01/2010
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