Individual
DAWN J FOUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
44744 NS 3500, KONAWA, OK 74849-4904
(913) 609-2285
Mailing address
44744 NS 3500, KONAWA, OK 74849-4904
(913) 609-2285
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
213228
TX
224Z00000X
Occupational Therapy Assistant
Primary
2551
OK
Other
Enumeration date
02/13/2019
Last updated
08/08/2024
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