Individual
MS. LARA LEE HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
307 E DANFORTH RD STE 130, EDMOND, OK 73034-4485
(405) 397-3550
Mailing address
18601 GARDEN RIDGE RD, EDMOND, OK 73012-8214
(405) 590-7879
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1226
OK
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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