Individual
JAMIE DAWN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3221 24TH AVE NW, NORMAN, OK 73069-6738
(405) 857-2007
Mailing address
1409 NE 1ST ST, MOORE, OK 73160-7801
(405) 694-7570
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2652
OK
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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