Individual
HIMANSHU S SAMANTARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L, CHT
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-4136
(405) 456-1734
Mailing address
4601 MARY ANN CIR, OKLAHOMA CITY, OK 73150-4426
(405) 343-7206
(918) 259-9521
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
829
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100649730A
—
OK
Enumeration date
07/06/2006
Last updated
09/28/2020
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