# FULL CIRCLE THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073434064
- **Authorized official:** KENNEDY ANN WAMBOLT OTR (OTR/OWNER)
- **Authorized official phone:** (580) 305-2988

## Contact information

- **Practice address:** 1408 CINDY ST, FREDERICK, OK 73542-1604
- **Practice address phone:** (580) 305-2988
- **Mailing address:** 1408 CINDY ST, FREDERICK, OK 73542-1604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2026
- **Last updated:** 07/24/2026