Individual
BETH ANNE MANIPELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2864 E 35TH ST, TULSA, OK 74105-2922
(918) 855-7394
Mailing address
3264 E 35TH, TULSA, OK 74105
(918) 855-7394
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
422
OK
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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