Individual
JULIAN QUEZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2219 SW 74TH ST STE 109-115, OKLAHOMA CITY, OK 73159-3931
(405) 355-3239
Mailing address
2219 SW 74TH ST STE 109-115, OKLAHOMA CITY, OK 73159-3931
(580) 374-5645
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2772
OK
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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