Individual
DANIEL LATIOLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3030 NW EXPRESSWAY STE 809, OKLAHOMA CITY, OK 73112-5466
(866) 848-8813
Mailing address
900 CROOKED OAK CIR, GUTHRIE, OK 73044-8134
(337) 255-5104
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1584
OK
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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