Individual
BROOKLYN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6846 S CANTON AVE STE 120, TULSA, OK 74136-3413
(918) 806-0106
Mailing address
3512 S SANDUSKY AVE, TULSA, OK 74135-1721
(580) 467-7523
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5775
OK
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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