Organization
CCR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE S COOPER-RODKEY OT/L (OWNER/OPERATOR)
(405) 831-7263
Entity
Organization
Contact information
Practice address
2412 FAIRWAY CT, NORMAN, OK 73069-6335
(405) 831-7263
Mailing address
2412 FAIRWAY CT, NORMAN, OK 73069-6335
(405) 831-7263
Taxonomy
Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
08/17/2020
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