Individual
RYAN LAKE BARBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
301 S DUCK ST, STILLWATER, OK 74074-3249
(405) 377-8255
(405) 835-3920
Mailing address
301 S DUCK ST, STILLWATER, OK 74074-3249
(405) 377-8255
(405) 835-3920
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211456
TX
224Z00000X
Occupational Therapy Assistant
2157
OK
Other
Enumeration date
06/19/2014
Last updated
05/29/2024
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