Individual
CAROLYN TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9029 NW 83RD ST, YUKON, OK 73099-9649
(405) 612-7471
Mailing address
9029 NW 83RD ST, YUKON, OK 73099-9649
(405) 612-7471
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
901
OK
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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