Individual
KATIE JOY QUARTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
BARTLESVILLE HOPE PEDIATRICS, 117 W 5TH ST SUITE 001, BARTLESVILLE, OK 74033
(918) 977-0786
Mailing address
9810 N 136TH EAST AVE, OWASSO, OK 74055-4563
(918) 520-4968
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2227
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148
—
OK
Enumeration date
09/15/2021
Last updated
09/15/2021
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