Organization
WONDERFULLY MADE THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA DIANE PUCKETT OTR/L (OCCUPATIONAL THERAPIST)
(405) 550-3380
Entity
Organization
Contact information
Practice address
13130 CANYON LAKES DR, OKLAHOMA CITY, OK 73142-7405
(405) 550-3380
(405) 550-3380
Mailing address
13130 CANYON LAKES DR, OKLAHOMA CITY, OK 73142-7405
(405) 550-3380
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT892
OK
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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