JACQUELINE MANUS

TAHLEQUAH, OK
NPI1083085377
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  967)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: OK  5310)
Enumeration Date2015-10-12
Last Update Date2019-02-04
Business Address
JACQUELINE MANUS COTA/L
1510 N. GRAND
TAHLEQUAH, OK 74464-7446
Phone number: 918-708-2119
Mailing Address
JACQUELINE MANUS COTA/L
26863 E 804 RD
WELLING, OK 74471-2341
Phone number: