Individual
TARA RENEE WARWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9636 N MAY AVE, OKLAHOMA CITY, OK 73120-2727
(405) 503-6639
(866) 435-3297
Mailing address
PO BOX 30034, EDMOND, OK 73003-0001
(405) 503-6639
(866) 435-3297
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 1098
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100638220
—
OK
Enumeration date
04/18/2006
Last updated
04/07/2009
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