Individual
MEREDITH WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2617 E 2ND ST, TULSA, OK 74104-1905
(903) 875-4172
Mailing address
2617 E 2ND ST, TULSA, OK 74104-1905
(903) 875-4172
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
Primary
2123
OK
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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