Individual
MS. JAMIE SUZETTE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
721 S GEORGE NIGH EXPY, SUITE 1, MCALESTER, OK 74501-7400
(918) 423-2220
Mailing address
149 N BK 1610 RD, STIGLER, OK 74462-2396
(918) 799-5614
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1312
OK
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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