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Individual

JESSICA MARIE HELM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
220 VILLAGE CIR, PONCA CITY, OK 74601-4021
(580) 830-0667
(580) 576-7553
Mailing address
220 VILLAGE CIR, PONCA CITY, OK 74601-4021
(580) 830-0667
(580) 576-7553

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2164
OK
224ZE0001X
Environmental Modification Occupational Therapy Assistant
2164
OK
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
2164
OK
224ZL0004X
Low Vision Occupational Therapy Assistant
2164
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200938460A
OK
Enumeration date
01/26/2021
Last updated
01/26/2021
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