Individual
CORINNE NICOLE DILLDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
204 S 197TH EAST AVE, TULSA, OK 74108-7926
(918) 850-0904
Mailing address
204 S 197TH EAST AVE, TULSA, OK 74108-7926
(918) 850-0904
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2446
OK
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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