MR. Kyle Lemoine Sanders, OT/L

NPI #1841470143 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1841470143
Entity Type: Individual
Name: MR. Kyle Lemoine Sanders, OT/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT/L
Enumeration Date: Nov 5, 2007
Last Updated: Jul 22, 2009

Practice Location

Address: 2208 N YELLOWOOD AVE
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-9102
Phone: (918) 286-1261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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