Individual
MR. LARRY ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.,C.H.T
Contact information
Practice address
8421 E 61ST ST, SUITE P, TULSA, OK 74133-1924
(918) 459-9305
(918) 250-6032
Mailing address
8421 E 61ST ST, SUITE P, TULSA, OK 74133-1924
(918) 459-9305
(918) 250-6032
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
003049
MO
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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