Individual
MS. SONDRA FAYE GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
310 W TAFT AVE, SAPULPA, OK 74066-5437
(918) 224-6012
Mailing address
11810 E 82ND PL N, OWASSO, OK 74055-2640
(918) 760-7008
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA441
OK
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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