Individual
LAUREN TARBUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2634 N 17TH ST, BROKEN ARROW, OK 74012-9492
(918) 999-2295
Mailing address
2634 N 17TH ST, BROKEN ARROW, OK 74012-9492
(918) 999-2295
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2498
OK
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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