Individual
MRS. MIRANDA DAWN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
2002 E ROBINSON ST, NORMAN, OK 73071-7420
(405) 307-2817
(405) 307-2956
Mailing address
2002 E ROBINSON ST, NORMAN, OK 73071-7420
(405) 307-2817
(405) 307-2956
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
114272
TX
225XP0200X
Pediatric Occupational Therapist
Primary
2139
OK
Other
Enumeration date
06/13/2011
Last updated
03/02/2018
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