Individual
REAGAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1944 N COUNTYLINE RD, NEWCASTLE, OK 73065-6093
(405) 638-8432
Mailing address
1944 N COUNTYLINE RD, NEWCASTLE, OK 73065-6093
(405) 638-8432
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2339
OK
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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