Individual
DEBORAH SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 E GORE BLVD, LAWTON, OK 73501-3025
(858) 531-9217
Mailing address
45 MOUNT SCOTT CIR, LAWTON, OK 73507-8058
(858) 531-9217
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1548
OK
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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