Individual
MRS. LORI WOODSON PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCU
Contact information
Practice address
6202 E 61ST ST, TULSA, OK 74136-2119
(918) 477-7171
Mailing address
6202 E 61ST ST, TULSA, OK 74136-2119
(918) 477-7171
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
557
OK
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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