Individual
KIARA MERCEDEZ MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2425 S MEMORIAL DR, TULSA, OK 74129-2617
(918) 628-0932
Mailing address
1410 N 76TH EAST AVE, TULSA, OK 74115-5718
(918) 237-0224
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1762
OK
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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