Individual
LESLIE PAMELA RIOS, GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3312 S PEORIA AVE, TULSA, OK 74105-2029
(918) 400-0089
Mailing address
1638 S CARSON AVE APT 113, TULSA, OK 74119-4224
(870) 279-5560
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2202
OK
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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