Individual
BAILEY RYAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14715 BRISTOL PARK BLVD, EDMOND, OK 73013-1894
(405) 250-5917
Mailing address
10600 NW 20TH ST, YUKON, OK 73099-3320
(405) 250-5917
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2685
OK
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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