Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | ||
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 1694 | OK |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 1694 | OK |
N | 225XP0200X | Occupational Therapist - Pediatrics | 1694 | OK |
NPI | 1063968626 |
---|---|
Provider Name | Lyndsay Roper |
First Address | Weatherford, OK 73096-2743 |
Second Address | Weatherford, OK 73096-5443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2016 |
Last Update Date | 01/09/2016 |