Individual
STEPHANIE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6715 E 41ST ST, TULSA, OK 74145-4520
(513) 226-9176
Mailing address
7751 S MEMORIAL DR APT 5208, TULSA, OK 74133-3634
(513) 226-9176
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2168
OK
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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