Individual
KATHY ANN DELAROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
615 CST SW, ARDMORE, OK 73401
(580) 221-4520
Mailing address
PO BOX 5755, ARDMORE, OK 73403-0755
(580) 221-4520
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT1015
OK
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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