Individual
ELIBETH CARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 COUNTY ROAD 1180, CARNEGIE, OK 73015-2238
(580) 445-4348
Mailing address
1112 COUNTY ROAD 1180, CARNEGIE, OK 73015-2238
(580) 445-4348
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2042
OK
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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