MEDICARE: PATRICIA ANN HEALY MOTRL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT1278	OK

General Provider Information

NPI Number	:	1356464242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ANN HEALY MOTRL

Provider Business Mailing Address
First Line	:	617 CAVECREEK ST
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73071-7192
Country	:	US
Telephone Number	:	405-447-1944
Fax Number	:

Provider Business Practice Location Address
First Line	:	9400 SAINT ANN DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-6400
Country	:	US
Telephone Number	:	405-722-5103
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2007
Last Update Date	:	07/08/2007

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