Individual
SUSAN ANTOINETTE DEZSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 680-3828
(918) 781-8541
Mailing address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 680-3828
(918) 781-8541
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
836
OK
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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