Individual
SUPARNA MUKHERJEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1337 E STATE HIGHWAY 152, SUITE 111, MUSTANG, OK 73064-5101
(405) 745-4786
(405) 745-4837
Mailing address
1337 E STATE HIGHWAY 152, SUITE 111, MUSTANG, OK 73064-5101
(405) 745-4786
(405) 745-4837
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT928
OK
Other
Enumeration date
11/21/2007
Last updated
11/14/2013
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