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Individual

MISS CHERYL DUNCANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
3105 S POPLAR AVE, BROKEN ARROW, OK 74012-7550
(918) 455-8139
Mailing address
3105 S POPLAR AVE, BROKEN ARROW, OK 74012-7550
(918) 455-8139

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46
OK

Other

Enumeration date
05/11/2013
Last updated
05/11/2013
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