Individual
SHERIDAN ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 E 6TH ST, OKMULGEE, OK 74447-4603
(918) 938-0997
Mailing address
PO BOX 976, CHECOTAH, OK 74426-0976
(307) 351-0547
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2315
OK
Other
Enumeration date
05/11/2021
Last updated
01/24/2025
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