Individual
MRS. SAMANTHA ANN PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1805 SE 8TH ST, MOORE, OK 73160-8341
(405) 694-7703
(405) 703-2844
Mailing address
1805 SE 8TH ST, MOORE, OK 73160-8341
(405) 694-7703
(405) 703-2844
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1721
OK
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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