Individual
JACQUELINE JO ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
501 N CANEY ST, COPAN, OK 74022-4221
(580) 763-2480
Mailing address
501 N CANEY ST, COPAN, OK 74022-4221
(580) 763-2480
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
757
OK
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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