Individual
SHERRI LOUISE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3528 E 30TH ST, TULSA, OK 74114-6110
(918) 695-8654
Mailing address
3528 E 30TH ST, TULSA, OK 74114-6110
(918) 695-8654
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA-1026
CO
224Z00000X
Occupational Therapy Assistant
Primary
OTA-501
OK
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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