Individual
MRS. TAVA NANETTE BRONSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
(918) 809-1526
Mailing address
3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
(918) 809-1526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT384
OK
Other
Enumeration date
03/07/2006
Last updated
08/06/2025
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