Individual
REBECCA WICKIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5800 E SKELLY DR, SUITE 402, TULSA, OK 74135-6471
(918) 351-4596
Mailing address
5800 E SKELLY DR, SUITE 402, TULSA, OK 74135-6471
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0004236
CO
225X00000X
Occupational Therapist
0119006285
VA
225X00000X
Occupational Therapist
Primary
1955
OK
Other
Enumeration date
03/22/2015
Last updated
03/22/2015
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