Individual
SAMANTHA JO MCAVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3904 ANADARKO, EDMOND, OK 73013-7730
(405) 537-5229
Mailing address
3904 ANADARKO, EDMOND, OK 73013-7730
(405) 537-5229
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5787
OK
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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