Individual
SHERYL DEANNE GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA-L
Contact information
Practice address
5604 NW 41ST ST, WARR ACRES, OK 73122-3204
(405) 495-3770
Mailing address
2208 PARK AVE, NEWCASTLE, OK 73065-5042
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
178
OK
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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