Individual
HALEY RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5110 S YALE AVE STE 102, TULSA, OK 74135-7438
(918) 492-2386
(918) 645-8686
Mailing address
8255 S 4040 RD, TALALA, OK 74080-3691
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2667
OK
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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