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Individual

ABIGAIL GRACE ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
117 W 5TH ST, SUITE 200, BARTLESVILLE, OK 74003
(918) 203-3313
(918) 512-4082
Mailing address
117 W 5TH ST STE 200, BARTLESVILLE, OK 74003-6615
(918) 203-3313
(918) 512-4082

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2277
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2277
COTA MEDICAL LICENSE
OK
Enumeration date
01/18/2021
Last updated
01/18/2021
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