Individual
TAYLOR HECKART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
326 N UNION AVE, SHAWNEE, OK 74801-7053
(405) 273-0653
Mailing address
501 POINTE PARKWAY BLVD, 3919, YUKON, OK 73099-0642
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1631
OK
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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