Individual
MARISSA HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4908 S SHERIDAN RD, TULSA, OK 74145-5712
(918) 984-9153
Mailing address
204 W UTICA PL, BROKEN ARROW, OK 74011-2447
(918) 231-8618
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2343
OK
Other
Enumeration date
05/19/2020
Last updated
07/11/2022
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