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Individual

ALYSSA CHANDLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1590
Mailing address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1590

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
385026
OK

Other

Enumeration date
06/07/2017
Last updated
07/21/2023
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