Organization
ASCENT HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOPAKUMAR DAMAYANTHY O.T. (OCCUPATIONAL THERAPIST / OWNER)
(405) 219-0724
Entity
Organization
Contact information
Practice address
1211 N SHARTEL AVE, OKLAHOMA CITY, OK 73103-2400
(405) 235-4442
(405) 235-4441
Mailing address
15909 CREEK HEIGHTS DR, EDMOND, OK 73013-9719
(405) 219-0724
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1257
OK
Other
Enumeration date
10/23/2017
Last updated
12/14/2017
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