Organization
CAN DO KIDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNA K PERSUN OTR/L (OCCUPATIONAL THERAPIST)
(405) 923-9672
Entity
Organization
Contact information
Practice address
14 E AYERS ST, EDMOND, OK 73034-3667
(405) 923-9672
(180) 068-0913
Mailing address
14 E AYERS ST, EDMOND, OK 73034-3667
(405) 923-9672
(180) 068-0913
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT866
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200128980 A
—
OK
Enumeration date
02/08/2008
Last updated
03/11/2014
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