SUSAN ELLEN POE

BROKEN ARROW, OK
NPI1558509992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OK  1237)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: TX  110980)
225X00000X Occupational Therapist
(Licence: LA  OTT.Z12117)
Enumeration Date2009-01-22
Last Update Date2018-06-26
Business Address
SUSAN ELLEN POE O.T.
2221 W DETROIT ST
BROKEN ARROW, OK 74012
Phone number: 918-615-6492
Mailing Address
SUSAN ELLEN POE O.T.
2221 W DETROIT ST
BROKEN ARROW, OK 74012-3628
Phone number: 918-615-6492