Individual
MAUDIE WEARSTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
910 N BIRCH AVE, SAND SPRINGS, OK 74063-7408
(918) 815-7430
Mailing address
910 N BIRCH AVE, SAND SPRINGS, OK 74063-7408
(918) 815-7430
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1395
OK
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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