Individual
KELLI LEE LOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2203 S MAIN ST, GROVE, OK 74344-5329
(918) 964-9366
Mailing address
2203 S MAIN ST, GROVE, OK 74344-5329
(918) 964-9366
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1822
OK
Other
Enumeration date
03/31/2021
Last updated
11/07/2023
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