Individual
TRACI HENDERSON-PELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
617 S MAIN ST, EUFAULA, OK 74432-3301
(918) 423-2220
Mailing address
617 S MAIN ST, EUFAULA, OK 74432-3301
(405) 406-7842
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
400
OK
Other
Enumeration date
07/22/2021
Last updated
10/22/2025
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