Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225200000X | Physical Therapy Assistant | TA124 | OK |
Y | 225X00000X | Occupational Therapist | OT124 | OK |
N | 225XH1200X | Occupational Therapist - Hand | OT124 | OK |
NPI | 1013930742 |
---|---|
Provider Name | Stephany Clodean Rumley |
First Address | Pocasset, OK 73079-9607 |
Second Address | Chickasha, OK 73018-3322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 20/04/2008 |