Individual
MRS. ELIZABETH A SUDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
7030 S YALE AVE, SUITE 105, TULSA, OK 74136-5712
(918) 497-1068
Mailing address
1335 E 42ND PL, TULSA, OK 74105-4048
(317) 223-1694
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1697
OK
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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