Individual
JESSICA ROSELLA CROWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
14701 E 86TH ST N, OWASSO, OK 74055-8474
(918) 205-4790
Mailing address
9585 E 350 RD, TALALA, OK 74080-9511
(918) 724-9096
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5371
OK
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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