Individual
DEANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1911 W C ST, JENKS, OK 74037-2367
(918) 409-0157
Mailing address
2721 E QUINCY ST, BROKEN ARROW, OK 74014-5027
(918) 720-2188
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2232
OK
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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