Individual
MRS. JUANITA MARIE HINCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD/L
Contact information
Practice address
9001 S 101ST EAST AVE, TULSA, OK 74133-5708
(918) 294-4060
(918) 294-4067
Mailing address
10032 E 125TH ST S, BIXBY, OK 74008-3488
(918) 629-9059
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5678
OK
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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