Individual
DAELYN FARBRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
402 W CLYDE AVE, VINITA, OK 74301-2105
(918) 256-6692
Mailing address
22998 S 4400 RD, VINITA, OK 74301-5602
(918) 244-1002
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1726
OK
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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