Individual
VANESSA MACAPAGAL GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9700 MASHBURN BLVD, OKLAHOMA CITY, OK 73162-5509
(405) 721-2466
Mailing address
710 N PINE BRANCH WAY, MUSTANG, OK 73064-3825
(405) 412-7295
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1625
OK
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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