Individual
AMANDA BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5035 S 136TH EAST AVE, TULSA, OK 74134-7017
(918) 693-2926
Mailing address
5035 S 136TH EAST AVE, TULSA, OK 74134-7017
(918) 693-2926
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1504
OK
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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