Individual
MIKAELA SHAE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6846 S CANTON AVE STE 120, TULSA, OK 74136-3413
(918) 806-0106
Mailing address
14002 S NYSSA PL, GLENPOOL, OK 74033-3105
(918) 728-1293
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5907
OK
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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