Individual
MS. BRENDA GAY STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 684-2384
(918) 684-3465
Mailing address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 684-2384
(918) 684-3465
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA28
OK
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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