Individual
ADDISON GRACE STURGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 W ALBANY DR APT 1034, BROKEN ARROW, OK 74012-5832
(918) 705-1483
Mailing address
1800 W ALBANY DR APT 1034, BROKEN ARROW, OK 74012-5832
(918) 705-1483
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5898
OK
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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