# PROSPER OT CONSULTATION SERVICES, LLC

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

## Provider details

- **NPI number:** 1588326268
- **Authorized official:** DR. SYDNEY DORROUGH OTR/L (OCCUPATIONAL THERAPIST/OWNER)
- **Authorized official phone:** (918) 822-0883

## Contact information

- **Practice address:** 15016 W 710 RD, TAHLEQUAH, OK 74464-0679
- **Practice address phone:** (918) 822-0883
- **Mailing address:** 15016 W 710 RD, TAHLEQUAH, OK 74464-0679
- **Mailing address phone:** (918) 822-0883

## Taxonomy

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

## Other

- **Enumeration date:** 10/09/2021
- **Last updated:** 10/09/2021