Individual
ASHLEY MAREE CHESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
(918) 615-6493
Mailing address
4615 E 13TH PL, TULSA, OK 74112-6103
(918) 760-5929
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2518
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2518
—
OK
Enumeration date
03/03/2023
Last updated
03/03/2023
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