TIM HENSLEE

PONCA CITY, OK
NPI1043617723
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  114)
Enumeration Date2014-11-25
Last Update Date2014-11-25
Business Address
-- TIM HENSLEE COTA
1601 ACADEMY ROAD
PONCA CITY, OK 74604
Phone number: 580-749-5923
Mailing Address
-- TIM HENSLEE COTA
RT 1 BOX 18540
PORUM, OK 74455
Phone number: 918-817-9828
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