Individual
MS. MARY ELLEN PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5140 S WHEELING AVE APT 214, TULSA, OK 74105-6406
(918) 851-5967
Mailing address
5140 S WHEELING AVE APT 214, TULSA, OK 74105-6406
(918) 851-5967
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2417
OK
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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