Individual
TEAH LYNN AUSMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1600 NE 6TH ST, MOORE, OK 73160-7932
(405) 794-5475
Mailing address
1600 NE 6TH ST, MOORE, OK 73160-7932
(405) 794-5475
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
224ZOOOOOX
OK
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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