| NPI | 1104369438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DIANE PUCKETT Occupational Therapist 405-550-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OK OT892) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |