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Individual

MRS. ANGELA LYNN AVERILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
6767 S YALE AVE, SUITE B, TULSA, OK 74136-3302
(918) 494-3000
(918) 494-0003
Mailing address
6767 S YALE AVE, SUITE B, TULSA, OK 74136-3302
(918) 494-3000
(918) 494-0003

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1276
OK

Other

Enumeration date
02/13/2012
Last updated
02/13/2012
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