Individual
KATIE OAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1410 W QUITMAN ST, IUKA, MS 38852-1129
(662) 423-3422
Mailing address
1410 W QUITMAN ST, IUKA, MS 38852-1129
(662) 423-3422
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2960
MS
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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