Individual
SYDNEY JANE DORROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15016 W 710 RD, TAHLEQUAH, OK 74464-0679
(918) 822-0883
Mailing address
15016 W 710 RD, TAHLEQUAH, OK 74464-0679
(918) 822-0883
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1578
OK
Other
Enumeration date
08/13/2012
Last updated
10/28/2021
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