Individual
ELIZABETH W DEGRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, OTR/L
Contact information
Practice address
1600 N PHILLIPS AVE, OKLAHOMA CITY, OK 73104-4619
(405) 271-2131
(405) 271-2432
Mailing address
1600 N PHILLIPS AVE, OKLAHOMA CITY, OK 73104-4619
(405) 271-2131
(405) 271-2432
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1217
OK
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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