Individual
AMBER DAWNELL MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
800 N. ARAPAHO, HYDRO, OK 73048
(405) 663-2335
Mailing address
PO BOX 133, HINTON, OK 73047-0133
(405) 542-6693
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
900
OK
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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