Individual
MRS. DEANDRA L MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
622 MCNABB, MOUNDS, OK 74047-0698
(918) 261-7740
Mailing address
PO BOX 367, PRAGUE, OK 74864-0367
(405) 585-7234
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA827
OK
Other
Enumeration date
12/17/2010
Last updated
06/19/2024
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