NPI 1043809130

Latara Easton Blankenship

Practitioner Occupational Therapy Assistant Shawnee, OK

Practice location

Address: 3903 N Harrison St, Shawnee, OK 74804-1426
Phone: (405) 585-2971
Fax: (405) 585-2983
Mailing address: 1205 N Market Ave, Shawnee, OK 74801-4923

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2224 (OK)

Other Occupational Therapy Assistant providers in Oklahoma →

Registry record

NPI: 1043809130
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jan 2021
Record last updated: 13 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.