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General NPI Number Information
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NPI Number | 1518239284
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Entity Type | Individual
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Provider Name | CYNTHIA DIANE PUCKETT OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/27/2012
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 924 NW 58TH ST STE 103
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-5905
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Country | US
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Telephone | 405-563-1236
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Fax | 405-310-1877
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Provider Business Mailing Address
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Address Line | 2521 RIDGE ESTATES DR
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City | YUKON
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State | OK
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Zip | 73099-5070
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Country | US
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Telephone | 405-550-3380
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Fax | 405-310-1877
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XL0004X
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Taxonomy Name | Low Vision Occupational Therapist
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License Number | OT892
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number | OT892
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | OT892
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT892
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License Number State | OK
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Taxonomy #5
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | OT892
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License Number State | OK
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT892
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License Number State | OK
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