Individual
REBECCA ANN DEVILLIERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4300 W HOUSTON ST, BROKEN ARROW, OK 74012-4519
(918) 249-9649
Mailing address
8253 E 38TH ST, TULSA, OK 74145-1453
(918) 627-3401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10
OK
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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