Individual
STEPHANIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
14663 NE 3RD ST, CHOCTAW, OK 73020-8521
(405) 390-2225
Mailing address
12880 NE 10TH ST, CHOCTAW, OK 73020-8129
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1229
OK
Other
Enumeration date
07/09/2016
Last updated
07/09/2016
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