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Individual

DE'VON A BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
5409 E 71ST ST APT 18, TULSA, OK 74136-6250
(918) 497-1068
(918) 497-1069
Mailing address
5409 E 71ST APT 18, 5800 E SKELLY DR SUIT 402, TULSA, OK 74136
(918) 497-1068
(918) 497-1069

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1763
OK

Other

Enumeration date
01/26/2017
Last updated
01/26/2017
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