Individual
VANNESSA NADIYA DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
14002 E 21ST ST STE 650, TULSA, OK 74134-1432
(918) 274-7902
Mailing address
PO BOX 1633, JAY, OK 74346-1633
(918) 625-1235
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2349
OK
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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