Most Relevant Information
Provider Data
| NPI Number: | 1003825050 |
| Provider Name: | JESSICA SANG OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 944 |
Most Important Dates
| Enumeration Date: | 08/07/2006 |
| Last Updated: | 07/12/2011 |
Provider Practice Location
12899 E 76TH ST N
109
OWASSO
OK
740554021
Practice Location Phone/Fax
| Phone: | 9186096003 |
| Fax: |
Provider Mailing Location
12899 E 76TH ST N
109
OWASSO
OK
740554021
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |