Individual
JULIE L ERASSARRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
520 HWY 123, DEWEY, OK 74029
(615) 896-6400
Mailing address
RR 2 BOX 410, CLEVELAND, OK 74020-9657
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
974
OK
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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