Mr. Alan Dwayne Statum, OTA
Mr. Alan Dwayne Statum, OTA is an Occupational Therapy Assistant in Tulsa, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2021
Practice location Address checks out
8720 S 101st AveTulsa, OK 74133
Phone: (918) 965-0101
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Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X (OK) |
|---|
Record details
| NPI number | 1861069379 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OTA |
| Sole proprietor | Yes |
| NPI enumerated | June 4, 2021 |
| Last updated in NPPES | June 4, 2021 |
| Certification date | May 12, 2021 |
| Mailing address | 412 E Beaver St, Jenks, OK 74037-4513 |
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