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Individual

MRS. SAVANNAH LYNN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1815 E SKELLY DR, TULSA, OK 74105-5919
(918) 743-7838
Mailing address
1815 E SKELLY DR, TULSA, OK 74105-5919

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1374
OK

Other

Enumeration date
05/02/2021
Last updated
05/02/2021
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