Individual
MRS. MYKELTI LYNN PRITCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17110 E 51ST ST, BROKEN ARROW, OK 74012-9279
(918) 355-1596
Mailing address
2428 E 7TH ST, TULSA, OK 74104-3306
(405) 612-9974
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5565
OK
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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