Individual
KEALEY JORDAN OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3223 E. 31ST STEET, TULSA, OK 74105
(918) 250-7093
(918) 250-9976
Mailing address
3223 E. 31ST STEET, TULSA, OK 74105
(918) 250-7093
(918) 250-9976
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2018024369
MO
225X00000X
Occupational Therapist
5225
OK
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200910860A
—
OK
Enumeration date
11/13/2018
Last updated
11/27/2023
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