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Raven Allen, COTA/L

Occupational Therapy Assistant in McAlester, OK. Individual provider (NPI-1).

NPI number1831781269
StatusActive
Last updated in NPPESFeb 8, 2021

Details

NPI
1831781269
Entity type
Individual (NPI-1)
Name
Raven Allen
Credential
COTA/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 8, 2021
Certification date
Feb 8, 2021
Last updated
Feb 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant2073OKYes

Practice location

101 Oklahoma Ave
McAlester, OK 74501-7520

Phone 918-421-3935

Mailing address

101 Oklahoma Ave
McAlester, OK 74501-7520

Phone 918-421-3935

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