Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 1748 | OK |
NPI | 1013558378 |
---|---|
Provider Name | William Turkelson |
First Address | Oklahoma City, OK 73179-3046 |
Second Address | Oklahoma City, OK 73116-2035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2019 |
Last Update Date | 07/10/2019 |