Individual
MR. CHARLES OCHIENG' AWITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
535 W FEDERAL ST, SHAWNEE, OK 74804-2713
(405) 273-7661
Mailing address
535 W FEDERAL ST, SHAWNEE, OK 74804-2713
(405) 273-7661
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 1017
OK
Other
Enumeration date
08/09/2007
Last updated
08/30/2007
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