Individual
TUCKER RHAY GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 N MAIN ST, BRISTOW, OK 74010-2015
(918) 367-5555
Mailing address
3417 MCDONALD DR, BRISTOW, OK 74010-2431
(918) 900-4304
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3008
OK
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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