Individual
BRENDA K WOODFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
410 N 30TH ST, ENID, OK 73701-3774
(580) 297-1973
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
179
OK
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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