Individual
MRS. BETTY JEAN YUYUENYONGWATANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
602 SE WALLOCK ST, LAWTON, OK 73501-5444
(580) 355-1512
(580) 248-9377
Mailing address
6902 NW SURREYWOOD PL, LAWTON, OK 73505-1011
(580) 355-1512
(580) 248-9377
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
746
OK
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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