Individual
REBECCA LEE WORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1205 KINGSTON BLVD, EDMOND, OK 73034-3227
(405) 612-5393
Mailing address
1205 KINGSTON BLVD, EDMOND, OK 73034-3227
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2444
OK
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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