Individual
DIANNA KAY PERSUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1073 N BRYANT, SUITE 100, EDMOND, OK 73034-3667
(405) 923-9672
(800) 680-9132
Mailing address
1073 N BRYANT, SUITE 100, EDMOND, OK 73034-3667
(405) 923-9672
(800) 680-9132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200128980A
—
OK
01
—
OT866
OCCUPATIONAL THERAPIST
OK
Enumeration date
03/28/2007
Last updated
05/06/2016
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