Individual
SHERLEY DIANE FOSMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
926 SAND CREEK DR, ENID, OK 73701-6937
(580) 237-8263
Mailing address
926 SAND CREEK DR, ENID, OK 73701-6937
(580) 237-8263
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
185
OK
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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