Individual
ANNA NICOLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1029 E WASHINGTON AVE, MCALESTER, OK 74501-4849
(918) 423-2220
Mailing address
112 SW K ST, ANTLERS, OK 74523-3408
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2188
OK
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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