Individual
MARY DODGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1401 SW 34TH ST, MOORE, OK 73160-3059
(405) 793-7885
Mailing address
15034 CEDAR RIDGE RD, SHAWNEE, OK 74801-2501
(405) 650-9074
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6038
OK
Other
Enumeration date
01/18/2021
Last updated
07/30/2025
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