Individual
DINDA RACHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
119 N BROADWAY AVE, ADA, OK 74820-5049
(580) 427-9040
(580) 427-9040
Mailing address
PO BOX 596, ADA, OK 74821-0596
(580) 427-9040
(580) 427-9040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1073
OK
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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