Individual
ASHLEY CHANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2033 W HOUSTON ST, BROKEN ARROW, OK 74012-8304
(918) 994-7799
Mailing address
1688 S SYCAMORE AVE, BROKEN ARROW, OK 74012-5147
(918) 810-5914
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2363
OK
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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