Individual
MRS. ANGEL LEE CHILDRESS-VIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2230 SE WASHINGTON BLVD STE 104, BARTLESVILLE, OK 74006-7100
(918) 533-1122
Mailing address
40550 N 4000 RD, COLLINSVILLE, OK 74021-6349
(918) 948-4708
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1497
OK
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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