Individual
PAIGE STANCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 CLARK BASS BLVD, MCALESTER, OK 74501
(918) 421-8061
Mailing address
PO BOX 2, WHITEFIELD, OK 74472-0002
(918) 441-8877
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2360
OK
Other
Enumeration date
12/18/2021
Last updated
12/18/2021
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