Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 86 | OK |
NPI | 1104092402 |
---|---|
Provider Name | Mrs. Beth A Wood |
First Address | Duncan, OK 73533-1650 |
Second Address | Duncan, OK 73533-1650 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2008 |
Last Update Date | 06/05/2008 |