Individual
ASHLEY EFAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1615 S EUCALYPTUS AVE, SUITE 208, BROKEN ARROW, OK 74012-6159
(918) 630-7334
Mailing address
1615 S EUCALYPTUS AVE, SUITE 208, BROKEN ARROW, OK 74012-6159
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1612
OK
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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