Individual
KASSIDY LAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4629 S HARVARD AVE, TULSA, OK 74135-2948
(918) 710-2370
Mailing address
4629 S HARVARD AVE, TULSA, OK 74135-2948
(918) 710-2370
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2041
OK
Other
Enumeration date
07/12/2016
Last updated
02/19/2018
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