Individual
MS. TALITHA GLORIA GLOSEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
6127 S JOPLIN AVE, TULSA, OK 74136-2107
(405) 503-6825
Mailing address
2400 W SHAWNEE ST, MUSKOGEE, OK 74401-2275
(918) 683-0040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT640
OK
225XG0600X
Gerontology Occupational Therapist
OT640
OK
225XH1300X
Human Factors Occupational Therapist
OT640
OK
225XP0019X
Physical Rehabilitation Occupational Therapist
OT640
OK
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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