Individual
MRS. TERRI S SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7004 NW 57TH ST, BETHANY, OK 73008-2020
(405) 749-8131
Mailing address
7004 NW 57TH ST, BETHANY, OK 73008-2020
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
830
OK
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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