Individual
STORMIE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2202 S MAIN ST, GROVE, OK 74344-5328
(918) 964-7025
(918) 964-7024
Mailing address
2202 S MAIN ST, GROVE, OK 74344-5328
(918) 964-7025
(918) 964-7024
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1889
OK
Other
Enumeration date
11/15/2021
Last updated
12/18/2024
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