Individual
STEVEN ALBERT CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT/L
Contact information
Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 506-6870
(918) 453-9409
Mailing address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 506-6870
(918) 453-9409
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT1071
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003865999
—
OK
Enumeration date
07/22/2022
Last updated
07/22/2022
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