Individual
MRS. LYNORE DAWN RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
427500 E 290 RD, CHELSEA, OK 74016-5537
(918) 557-2491
Mailing address
427500 E 290 RD, CHELSEA, OK 74016-5537
(918) 557-2491
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1588
OK
Other
Enumeration date
06/28/2024
Last updated
07/03/2024
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