Individual
TOYA IVY STUNKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
310 2ND AVE SW, MIAMI, OK 74354-6743
(918) 540-7736
Mailing address
26 N MAIN ST, MIAMI, OK 74354-6323
(918) 542-8455
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1328
OK
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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