Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1326357419 |
---|---|
Provider Name | Heather R Knowles |
First Address | Oklahoma City, OK 73103-4124 |
Second Address | Midwest City, OK 73110-3049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2010 |
Last Update Date | 06/10/2010 |