Individual
JULIE MICHELLE RAKESTRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9221 HARMONY DR, MIDWEST CITY, OK 73130-6255
(405) 869-0700
Mailing address
933 NW 15TH ST, MOORE, OK 73160-1401
(405) 760-4999
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA298
OK
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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