Individual
NANCY CONTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
6223 W GORE BLVD, LAWTON, OK 73505
(301) 332-8009
(580) 670-7074
Mailing address
4301 NE MOSSY OAK DR, LAWTON, OK 73507-4556
(301) 332-8009
(580) 670-7074
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R3628
KY
225XP0200X
Pediatric Occupational Therapist
1797
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200463190A
—
OK
Enumeration date
05/02/2007
Last updated
05/15/2019
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