Individual
ERIC THREADGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
6006 SE ADAMS BLVD, BARTLESVILLE, OK 74006-8960
(918) 331-0550
Mailing address
6006 SE ADAMS BLVD, BARTLESVILLE, OK 74006-8960
(918) 331-0550
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1789
OK
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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