Individual
MS. AMY CATHLEEN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2300 N BROADWAY ST, POTEAU, OK 74953
(918) 962-0198
(844) 632-7298
Mailing address
41116 E COUNTY ROAD 1240, KEOTA, OK 74941-6451
(918) 697-2909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1904
OK
225X00000X
Occupational Therapist
Primary
OTR2724
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200554810A
—
OK
Enumeration date
09/15/2014
Last updated
08/21/2018
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