Individual
NANCY SKYLEEN BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1510 N GRAND AVE, TAHLEQUAH, OK 74464-6318
(918) 708-2119
Mailing address
PO BOX 384, BRAGGS, OK 74423-0384
(918) 910-0166
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2356
OK
Other
Enumeration date
08/27/2021
Last updated
10/26/2022
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