Individual
JUDITH DARLENE REBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
713 S 12TH ST, COLLINSVILLE, OK 74021-3511
(810) 429-2517
Mailing address
713 S 12TH ST, COLLINSVILLE, OK 74021-3511
(810) 429-2517
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5271
OK
Other
Enumeration date
04/10/2021
Last updated
04/10/2021
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