Individual
TAMMIE LEE HAWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
QUEST, 400 N EASTERN AVE, MOORE, OK 73160
(405) 859-4389
Mailing address
400 N EASTERN AVE, MOORE, OK 73160-5833
(405) 601-4303
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1503
OK
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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