Individual
MASON JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
311 WEST CEDAR STREET, BINGER, OK 73009-7300
(405) 545-0864
Mailing address
PO BOX 41, BINGER, OK 73009-0041
(405) 545-0864
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5648
OK
Other
Enumeration date
12/07/2015
Last updated
10/13/2022
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