Individual
THERESA AUBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1001 SW A AVE, LAWTON, OK 73501-3951
(580) 353-8900
(580) 353-8903
Mailing address
1001 SW A AVE, LAWTON, OK 73501-3951
(580) 353-8900
(580) 353-8903
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1828
OK
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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