Individual
HALEIGH NICOLE LOCKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6715 E 41ST ST, TULSA, OK 74145-4520
(918) 806-0106
Mailing address
18248 S 132ND EAST AVE, BIXBY, OK 74008-7713
(918) 850-0813
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5346
OK
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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