Organization
FUN-CTIONAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY MCCARTER OTR/L (PRESIDENT)
(918) 809-4392
Entity
Organization
Contact information
Practice address
2305 W WACO ST, BROKEN ARROW, OK 74011-1510
(918) 809-4392
Mailing address
2305 W WACO ST, BROKEN ARROW, OK 74011-1510
(918) 809-4392
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100675330A
—
OK
Enumeration date
04/22/2008
Last updated
04/22/2008
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