Individual
KELSIE OLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6585 S YALE AVE STE 310, TULSA, OK 74136-8334
(918) 502-4700
(918) 502-4701
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 494-9341
(918) 494-9355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5244
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200784410A
—
OK
Enumeration date
07/13/2018
Last updated
06/05/2020
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