Individual
HAYLEY NICOLE KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6846 S CANTON AVE STE 120, TULSA, OK 74136-3413
(918) 806-0106
Mailing address
6846 S CANTON AVE STE 120, TULSA, OK 74136-3413
(918) 806-0106
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2471
OK
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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