Individual
MRS. GENEVA MOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5725 S ROSS AVE, OKLAHOMA CITY, OK 73119-5650
(405) 686-1972
Mailing address
2524 SEQUOIA PARK DR, YUKON, OK 73099-5824
(405) 354-4219
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
169
OK
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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