Individual
MAKENZIE LORENE BARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 S GRANITE AVE, TULSA, OK 74136-7039
(918) 491-5200
Mailing address
27051 E 295 RD, BIG CABIN, OK 74332-8131
(918) 718-9252
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5706
OK
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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