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Individual

PRINCY SUSAN SAMUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14715 BRISTOL PARK BLVD, EDMOND, OK 73013-1894
(405) 840-1686
Mailing address
3413 SUGAR MAPLE WAY, OKLAHOMA CITY, OK 73179-1300
(405) 650-1546

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5909
OK

Other

Enumeration date
12/31/2024
Last updated
01/03/2025
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