STACEY ELAINE DAWES

BROKEN ARROW, OK
NPI1134718265
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  2065)
Enumeration Date2021-01-13
Last Update Date2021-01-13
Business Address
Mrs. STACEY ELAINE DAWES COTA/L
2025 S ASTER AVE
BROKEN ARROW, OK 74012-6075
Phone number: 918-606-8282
Mailing Address
Mrs. STACEY ELAINE DAWES COTA/L
2025 S ASTER AVE
BROKEN ARROW, OK 74012-6075
Phone number: 918-606-8282
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