Individual
CARSON LEE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9201 S I 35 SERVICE RD, MOORE, OK 73160-9046
(405) 601-4303
(405) 703-9144
Mailing address
9201 S I 35 SERVICE RD, MOORE, OK 73160-9046
(405) 601-4303
(405) 703-9144
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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