Individual
MARCY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N WAVERLY ST, PONCA CITY, OK 74601-2134
(580) 762-6668
Mailing address
1804 NE WOODLAND RD, PONCA CITY, OK 74604-3825
(918) 520-9048
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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