Individual
MISS TARA AMBER KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3030 NW EXPRESSWAY STE 809, OKLAHOMA CITY, OK 73112-5466
(405) 917-7160
Mailing address
512 N CHICKASAW ST, PAULS VALLEY, OK 73075-2408
(405) 207-7237
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
341
OK
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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