Individual
JESSICA MARIE SEIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4157 S HARVARD AVE STE 117, TULSA, OK 74135-2606
(918) 712-7868
Mailing address
512 W QUANAH ST, BROKEN ARROW, OK 74011-4149
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1492
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1492
—
OK
Enumeration date
01/25/2021
Last updated
01/25/2021
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