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Individual

HEIDI LAIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5350 E 46TH ST STE 100, TULSA, OK 74135-6601
(918) 660-6886
(918) 660-0874
Mailing address
12532 S 1ST ST, JENKS, OK 74037-2870
(918) 995-2022

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
576
OK

Other

Enumeration date
03/10/2015
Last updated
03/10/2015
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