Individual
TATUM B TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2024 W BROADWAY ST, MUSKOGEE, OK 74401-2758
(918) 682-9292
(918) 682-0054
Mailing address
814 W OKMULGEE ST, MUSKOGEE, OK 74401-6839
(918) 682-9292
(918) 682-0054
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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