Individual
MRS. TESS E. VANDENBOGAERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1300 MCGEE DR STE 113, NORMAN, OK 73072-5858
(405) 366-7898
(405) 366-0010
Mailing address
1300 MCGEE DR STE 113, NORMAN, OK 73072-5858
(405) 366-7898
(405) 366-0010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2005
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005
OK LICENSE OTA
OK
Enumeration date
01/15/2021
Last updated
01/15/2021
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