Individual
MARIAH QUIMBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
117 N MAIN ST, SAND SPRINGS, OK 74063-7602
(918) 308-9847
Mailing address
4302 W HIGHLAND PARK DR, CLEVELAND, OK 74020-5133
(918) 729-2322
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2545
OK
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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