Individual
NOELLE BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 VILLAGE CIR, PONCA CITY, OK 74601-4021
(918) 417-6424
Mailing address
2216 JANE ST, PONCA CITY, OK 74601-1811
(580) 716-1052
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2733
OK
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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