Individual
TRACY ALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
351 N AIR DEPOT BLVD STE X, MIDWEST CITY, OK 73110-1760
(405) 732-1766
(405) 732-4337
Mailing address
304 COUNTRY LN, MIDWEST CITY, OK 73130-6829
(405) 974-1376
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
Primary
1037
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1037
LICENSE #
OK
Enumeration date
08/19/2006
Last updated
10/23/2019
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