Individual
SALLY COOKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
6202 E 61ST ST, TULSA, OK 74136-2119
(918) 494-8830
Mailing address
6723 E 97TH ST, TULSA, OK 74133-5906
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1003
OK
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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