Individual
TAI MARIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1604 HUNTINGTON AVE, NICHOLS HILLS, OK 73116-5521
(918) 625-0888
Mailing address
1604 HUNTINGTON AVE, NICHOLS HILLS, OK 73116-5521
(918) 625-0888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1486
OK
Other
Enumeration date
03/21/2008
Last updated
12/23/2014
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