Healthcare Provider Details

I. General information

NPI: 1811712854
Provider Name (Legal Business Name): TAYLOR D BARRICK OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 W BOYD ST
NORMAN OK
73069-4801
US

IV. Provider business mailing address

3528 CRAMPTON GAP WAY
NORMAN OK
73069-6973
US

V. Phone/Fax

Practice location:
  • Phone: 405-366-7898
  • Fax: 405-366-0010
Mailing address:
  • Phone: 580-656-6711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number5560
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: