Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 0981 | OK |
NPI | 1255399887 |
---|---|
Provider Name | Mrs. Joyce Green-Halford |
First Address | Bixby, OK 74008 |
Second Address | Tulsa, OK 74120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 09/02/2012 |