Individual
NICHOLAS ISAAC KEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6400 N SANTA FE AVE STE B, OKLAHOMA CITY, OK 73116-9126
(405) 840-2903
(405) 840-3256
Mailing address
13709 PENNYWORTH DR, YUKON, OK 73099-1346
(580) 216-0766
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5261
OK
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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