JAISA D BERRY

MCALESTER, OK
NPI1821602350
Former NameJAISA D ALLEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  2229)
Enumeration Date2020-09-02
Last Update Date2021-03-23
Business Address
JAISA D BERRY COTA
1029 E WASHINGTON AVE
MCALESTER, OK 74501-4849
Phone number: 918-423-2220
Mailing Address
JAISA D BERRY COTA
10292 S BENTLEY RD
ATOKA, OK 74525-7491
Phone number: 580-364-3639
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