Individual
DINA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6525 N MERIDIAN AVE STE 311, OKLAHOMA CITY, OK 73116-1410
(800) 728-1115
Mailing address
9002 N 134TH EAST AVE, OWASSO, OK 74055-2554
(918) 272-7375
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1074
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200058730A
—
OK
Enumeration date
08/24/2008
Last updated
08/24/2008
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