Individual
MS. OLIVIA CHASE PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4619 S HARVARD AVE STE 102, TULSA, OK 74135-2944
(539) 867-3151
(918) 513-5808
Mailing address
305 S SWEET GUM PL, BROKEN ARROW, OK 74012-4502
(918) 629-5508
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5849
OK
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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