Individual
KATELYN JEAN SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
402 SE 6TH ST, MOORELAND, OK 73852-9064
(580) 994-5570
Mailing address
402 SE 6TH ST, MOORELAND, OK 73852-9064
(580) 994-5570
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1807
OK
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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