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Individual

AMELIA JOYCE LOONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
620 SE 583 DR, LOCUST GROVE, OK 74352-2042
(918) 991-3119
Mailing address
PO BOX 46, LOCUST GROVE, OK 74352-0046
(918) 991-3119

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
541152
OK

Other

Enumeration date
10/08/2025
Last updated
10/08/2025
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