Individual
BROOKE LEANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1911 W C ST, JENKS, OK 74037-2367
(918) 409-0157
(918) 209-4788
Mailing address
1911 W C ST, JENKS, OK 74037-2367
(918) 409-0157
(918) 209-4788
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5394
OK
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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