Individual
MRS. JESSICA DAWN TSOTSOROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L ATP
Contact information
Practice address
7770 OAKRIDGE DR, BROKEN ARROW, OK 74014-2729
(918) 698-7461
Mailing address
7770 OAKRIDGE DR, BROKEN ARROW, OK 74014-2729
(918) 698-7461
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1035
OK
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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