Individual
KARA WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
118 E BROADWAY, THOMAS, OK 73669
(580) 661-3517
(580) 661-3528
Mailing address
118 E BROADWAY, THOMAS, OK 73669
(580) 661-3517
(580) 661-3528
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1098
OK
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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