Organization
CARE PLUS HEALTH PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAHLILA FOWLER OTD,OTR/L,CEAS (MEMBER/CHAIRMAN)
(405) 761-7740
Entity
Organization
Contact information
Practice address
522 W 16TH ST, ADA, OK 74820-7610
(405) 761-7740
(580) 421-9491
Mailing address
PO BOX 2297, ADA, OK 74821-2297
(405) 761-7740
(580) 421-9491
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1433
OK
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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