Individual
GARY BRASWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6048 S SHERIDAN RD, TULSA, OK 74145-9212
(918) 935-2004
(918) 935-3536
Mailing address
6048 S SHERIDAN RD, TULSA, OK 74145-9212
(918) 935-2004
(918) 935-3536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
404
OK
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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