Individual
JANE MARIE RHOADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
412 N BROADWAY AVE # 416, SHAWNEE, OK 74801-6922
(405) 273-1523
Mailing address
412 N BROADWAY AVE # 416, SHAWNEE, OK 74801-6922
(405) 273-1523
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2064
OK
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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