Bracks, Catherine Agnes
Bracks, Catherine Agnes is an individual health care provider with primary practice located at 2488 E 81St St Ste 290 , Tulsa OK 74137-4265. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is her primary health care specialty. Bracks, Catherine Agnes can be contacted via phone (918) 494-2665.Contact Information
Primary practice address
2488 E 81St St Ste 290
Tulsa OK 74137-4265
Phone: (918) 494-2665
Fax: (918) 927-3201
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 2017 | Oklahoma |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT3672 | Tennessee |
Profile Details
NPI number | 1386788651 |
---|---|
LBN Legal business name | Bracks, Catherine Agnes |
Credentials | Occupational Therapist (OT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 19th, 2007 |
Last updated | Sep 3rd, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386788651 | NPPES |
Tennessee | MEDICAID | 0446652 | |
Tennessee | Other | 3156797 | |
Tennessee | MEDICAID | 200762650A |
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