Individual
MRS. KAREN RUTH WIECHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
16737 E RENO AVE, CHOCTAW, OK 73020-7419
(405) 390-0057
Mailing address
16737 E RENO AVE, CHOCTAW, OK 73020-7419
(405) 390-0057
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
833
OK
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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