Provider Demographics
NPI:1720260029
Name:ACREE, CALLIE ELIZABETH (OT)
Entity Type:Individual
Prefix:MRS
First Name:CALLIE
Middle Name:ELIZABETH
Last Name:ACREE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7738 N OWASSO EXPWY
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055
Mailing Address - Country:US
Mailing Address - Phone:918-928-4255
Mailing Address - Fax:918-342-3900
Practice Address - Street 1:7738 N OWASSO EXPWY
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055
Practice Address - Country:US
Practice Address - Phone:918-928-4255
Practice Address - Fax:918-928-4258
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1368225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics