Individual
SUE TROTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13795 S 309TH EAST AVE, COWETA, OK 74429-5760
(918) 486-3838
Mailing address
13795 S 309TH EAST AVE, COWETA, OK 74429-5760
(918) 486-3838
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
PENDING
OK
225XH1300X
Human Factors Occupational Therapist
PENDING
OK
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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