Individual
CAROLINE JALEN COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
(918) 567-7119
Mailing address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
(918) 567-7119
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5366
OK
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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