Individual
TAMARA GILBREATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 SW 27TH ST, LAWTON, OK 73505-7947
(580) 353-8861
Mailing address
8154 COUNTY ROAD 1470, APACHE, OK 73006-6600
(580) 512-5828
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
807
OK
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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