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Individual

SAVANNAH MARIE LYTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11 W BROADWAY ST, SAND SPRINGS, OK 74063-7625
(918) 237-3850
Mailing address
11 W BROADWAY ST, SAND SPRINGS, OK 74063-7625
(918) 237-3850

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1727
OK

Other

Enumeration date
02/03/2021
Last updated
02/03/2021
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