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Individual

JOAN KNEEDLER BERRYHILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
900 OLDE OAK CT, NORMAN, OK 73026-0899
(405) 255-2512
Mailing address
900 OLDE OAK CT, NORMAN, OK 73026-0899
(405) 255-2512

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
386
OK
225XP0200X
Pediatric Occupational Therapist
386
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100672620A
OK
05
100672620B
OK
Enumeration date
07/02/2006
Last updated
05/30/2008
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