Organization
40:31 REHAB & WELLNESS, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA MICHELLE LOONEY OTR/L (OWNER)
(580) 982-8316
Entity
Organization
Contact information
Practice address
251 W 70TH ST S, MUSKOGEE, OK 74401-8924
(580) 982-8316
(918) 910-3598
Mailing address
251 W 70TH ST S, MUSKOGEE, OK 74401-8924
(580) 982-8316
(918) 910-3598
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2138
OK
Other
Enumeration date
09/08/2017
Last updated
07/21/2022
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