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Organization

QUALITY OCCUPATIONAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER LYNNE HOLLEMAN OTR (OTR/ OWNER)
(405) 610-3048
Entity
Organization

Contact information

Practice address
8827 E RENO AVE, SUITE 201, MIDWEST CITY, OK 73110-7732
(405) 610-3048
(405) 610-3049
Mailing address
PO BOX 197, HARRAH, OK 73045-0197
(405) 610-3048
(405) 610-3049

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3570
OK
225X00000X
Occupational Therapist
OT999
OK
235Z00000X
Speech-Language Pathologist
2631
OK
235Z00000X
Speech-Language Pathologist
Primary
3070
OK

Other

Enumeration date
05/09/2006
Last updated
09/11/2025
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