Organization
PEDIATRIC OCCUPATIONAL THERAPY, LLC
Active
Other names
Pediatric Occupational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH D O'CONNOR MPH, OTR/L (OWNER-OCCUPATIONAL THERAPIST)
(918) 629-3821
Entity
Organization
Contact information
Practice address
6363 S TRENTON AVE, DIAGNOSTIC INSTRUCTION CENTER, TULSA, OK 74136-0741
(918) 629-3821
Mailing address
6121 E 106TH PL, TULSA, OK 74137-7005
(918) 629-3821
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
OT325
OK
225XP0200X
Pediatric Occupational Therapist
Primary
OT882
OK
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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