Individual
JENNIFER DAE ARVIZU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
218 W 5TH ST, STROUD, OK 74079-3419
(918) 908-0017
(918) 367-5278
Mailing address
218 W 5TH ST, STROUD, OK 74079-3419
(918) 908-0017
(918) 367-5278
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1024
OK
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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