Individual
CATHERINE TRACY PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
419 E MIAMI AVE, MCALESTER, OK 74501-6421
(918) 429-5189
Mailing address
419 E MIAMI AVE, MCALESTER, OK 74501-6421
(918) 429-5189
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1232
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
OK
Enumeration date
05/18/2019
Last updated
06/11/2019
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