Individual
MRS. GRACY GEORGE ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6905 W WILSHIRE BLVD STE B, OKLAHOMA CITY, OK 73132-5494
(405) 445-1295
Mailing address
8613 NW 69TH CIR, OKLAHOMA CITY, OK 73132-3763
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
611
OK
225X00000X
Occupational Therapist
Primary
OT611
OK
Other
Enumeration date
05/12/2007
Last updated
03/02/2021
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