Individual
EMILY RETKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2425 S MEMORIAL DR, TULSA, OK 74129-2617
(918) 628-0932
Mailing address
2425 S MEMORIAL DR, TULSA, OK 74129-2617
(918) 628-0932
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
715
OK
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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