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JOSHUA APPOLLO CRAIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
405 N SPRUCE AVE, BARTLESVILLE, OK 74006-1929
(918) 619-7583
Mailing address
405 N SPRUCE AVE, BARTLESVILLE, OK 74006-1929
(918) 619-7583

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1059
OK

Other

Enumeration date
02/14/2012
Last updated
02/14/2012
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