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General NPI Number Information
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NPI Number | 1770380313
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Entity Type | Organization
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Legal Business Name | FLOURISH OT AND HOME MODS, PLLC
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Dates
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Enumeration Date | 03/01/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 2915 E 85TH ST
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City | TULSA
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State | OK
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Zip | 74137-1423
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Country | US
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Telephone | 918-636-3636
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Fax |
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Provider Business Mailing Address
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Address Line | 2915 E 85TH ST
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City | TULSA
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State | OK
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Zip | 74137-1423
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Country | US
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Telephone | 918-636-3636
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/MANAGING MEMBER
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Name | MS. HELEN ROULT BRYCE
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Credential | PHD, OTR/L
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Telephone | 918-636-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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