Individual
MRS. JUDITH POEPPELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L AND RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 138964
OK
224Z00000X
Occupational Therapy Assistant
Primary
OTA 02749
OH
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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