Individual
MIRANDA LEEANN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1071 W BLUE STARR DR STE 101, CLAREMORE, OK 74017-2868
(918) 341-4343
(918) 341-8687
Mailing address
1071 W BLUE STARR DR STE 101, CLAREMORE, OK 74017-2868
(918) 341-4343
(918) 341-8687
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5637
OK
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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