Individual
MISS JOCELYN JARITHA WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
4219 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3410
(405) 644-5289
Mailing address
874 BROOKWOOD DR, APT 202, OKLAHOMA CITY, OK 73139-4918
(405) 412-8272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1485
OK
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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