Individual
JOHNATHAN DENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5800 E SKELLY DR STE 402, TULSA, OK 74135-6441
(918) 497-1068
Mailing address
171 E BROOKEN RD, STIGLER, OK 74462-2289
(918) 441-6877
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1413
OK
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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