Individual
MRS. TERYL A SPERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
(918) 615-6493
Mailing address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
(918) 615-6493
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
195
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200122880B
—
OK
Enumeration date
09/18/2007
Last updated
06/03/2010
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