Individual
MRS. KIMBERLY ANNE DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5725 S ROSS, OKLAHOMA CITY, OK 73159
(405) 685-4791
Mailing address
2362 ELM TREE LANE, BLANCHARD, OK 73010
(405) 392-5033
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1107
OK
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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