JOEL BRYNN LIVINGSTON

LAWTON, OK
NPI1023228517
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  OA584)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
-- JOEL BRYNN LIVINGSTON COTA
602 SE WALLOCK ST
LAWTON, OK 73501-5444
Phone number: 580-355-1512
Mailing Address
-- JOEL BRYNN LIVINGSTON COTA
522 E. EVANS
APACHE, OK 73006
Phone number: