Individual
MR. HUGH O'BRIAN OLDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1111 EUCLID AVE, CAMERON, MO 64429-2005
(816) 649-1679
Mailing address
3132 NW DILLON DR, HAMILTON, MO 64644-8205
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2005007395
MO
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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