Individual
CARLOS WREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
4647 N HARTFORD AVE, TULSA, OK 74126-3360
(918) 954-3667
Mailing address
4647 N HARTFORD AVE, TULSA, OK 74126-3360
(918) 954-3667
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1982
OK
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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