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Individual

CASEY N STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
12400 S HIWASSEE RD, OKLAHOMA CITY, OK 73165-7681
(405) 833-1013
Mailing address
12400 S HIWASSEE RD, OKLAHOMA CITY, OK 73165-7681
(405) 833-1013

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1509
OK
225XP0200X
Pediatric Occupational Therapist
Primary
5528
OK

Other

Enumeration date
04/16/2019
Last updated
10/08/2021
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