Individual
LISA KAMPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1724 S HARVARD AVE, TULSA, OK 74112-6826
(918) 250-7093
Mailing address
1724 S HARVARD AVE, TULSA, OK 74112-6826
(918) 250-7093
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1286
OK
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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