Individual
TAKONA HUNTER BUOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
6006 SE ADAMS BLVD, BARTLESVILLE, OK 74006-8960
(918) 331-0550
Mailing address
6006 SE ADAMS BLVD, BARTLESVILLE, OK 74006-8960
(918) 331-0550
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1543
OK
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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