Individual
ANDRIA WALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1806 24TH AVE NW, NORMAN, OK 73069-6392
(405) 857-8280
Mailing address
1806 24TH AVE NW, NORMAN, OK 73069-6392
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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