Individual
GRACE LADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
131 S FLOOD AVE, NORMAN, OK 73069-5463
(580) 320-9443
Mailing address
3633 24TH AVE SE APT 5, NORMAN, OK 73071-3108
(580) 320-9443
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2181
OK
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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