Whalio Doctors

NPI 1003384546

Jovan Pride, OT

Practitioner Occupational Therapist Oklahoma City, OK

Practice location

Address
5701 SE 74th St STE G, Oklahoma City, OK 73135-1104
Phone
(405) 610-1909
Fax
(405) 610-1910
Mailing address
14715 Bristol Park Blvd, Edmond, OK 73013-1894

Registered specialties

Occupational Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 5279 (OK)

Registry record

NPI
1003384546
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Nov 2018
Record last updated
14 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.