Individual
ELISA M JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
110 E 1ST ST, SKIATOOK, OK 74070-1102
(918) 605-7494
Mailing address
110 E 1ST ST, SKIATOOK, OK 74070-1102
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1030
OK
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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