Individual
MRS. ERIN R PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
608 SW D AVE, LAWTON, OK 73501-4560
(301) 332-8009
Mailing address
14550 N 2410 RD, MOUNTAIN VIEW, OK 73062-6214
(580) 449-1197
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2585
OK
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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