Individual
TINA MARIE NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7738 N OWASSO EXPY, OWASSO, OK 74055-3338
(918) 928-4255
Mailing address
7738 N OWASSO EXPY, OWASSO, OK 74055-3338
(918) 928-4255
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0985
OK
225X00000X
Occupational Therapist
Primary
5883
OK
Other
Enumeration date
07/28/2023
Last updated
02/21/2024
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