Individual
MARY BROMLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
523 E STATE RD, FAIRVIEW, OK 73737-1453
(580) 227-1370
(580) 227-2882
Mailing address
523 E STATE RD, FAIRVIEW, OK 73737-1453
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5672
OK
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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