Individual
ALECIA WYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1100 OAKRIDGE DR, DURANT, OK 74701-2620
(580) 924-8579
(580) 745-9357
Mailing address
PO BOX 831, MADILL, OK 73446-0831
(580) 795-3301
(580) 795-7307
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207948
TX
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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