Individual
REBECCA DANIELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10020 E 91ST ST, TULSA, OK 74133-5835
(918) 940-8801
Mailing address
4981 E 26TH ST, TULSA, OK 74114-4917
(918) 261-5457
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5354
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5354
OT LICENSE
OK
Enumeration date
01/09/2021
Last updated
01/09/2021
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