Organization
THERAPY & DEVELOPMENTAL RESOURCES OF OKLAHOMA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH LAWANDA MITCHENER OTR/L (OCCUPATIONAL THERAPIST)
(405) 919-2026
Entity
Organization
Contact information
Practice address
219 E MAIN ST, EDMOND, OK 73034-4537
(405) 919-2026
(888) 547-5376
Mailing address
PO BOX 1220, EDMOND, OK 73083-1220
(405) 919-2026
(888) 547-5376
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT1436
OK
225X00000X
Occupational Therapist
Primary
OT410
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200084300A
—
OK
Enumeration date
09/28/2006
Last updated
09/06/2016
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