Individual
LADAWN ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
17287 W 32ND ST S, SAND SPRINGS, OK 74063-4774
(918) 639-9133
Mailing address
4316 S CEDAR CT, BROKEN ARROW, OK 74011-3412
(918) 639-9133
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1279
OK
Other
Enumeration date
01/29/2022
Last updated
01/29/2022
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