Individual
AMANDA WALRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1519 S BOSTON AVE, TULSA, OK 74119-4015
(918) 949-9871
Mailing address
1519 S BOSTON AVE, TULSA, OK 74119-4015
(918) 949-9871
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
082868
IA
Other
Enumeration date
08/19/2016
Last updated
04/21/2021
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