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Individual

AVERY DRU CARLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
501 S COLTRANE RD STE A, EDMOND, OK 73034-6729
(580) 318-9415
Mailing address
81552 N 2595 RD, WATONGA, OK 73772-7205
(580) 216-5399

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2675
OK

Other

Enumeration date
10/20/2025
Last updated
04/14/2026
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