Individual
HANNAH GRACE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2100 N ASPEN AVE, BROKEN ARROW, OK 74012-1490
(918) 505-7575
Mailing address
15726 E 114TH ST N, OWASSO, OK 74055-6124
(918) 720-3882
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2560
OK
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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