Individual
CASHLYN MUNROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 FAIRVIEW AVE, PONCA CITY, OK 74601-2053
(580) 830-0667
Mailing address
16719 SW OHIO STREET RD, DOUGLASS, KS 67039-8418
(316) 648-3257
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA22021
NM
224Z00000X
Occupational Therapy Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OTA22021
—
NM
Enumeration date
10/24/2022
Last updated
01/17/2024
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