NPI 1003384546
Jovan Pride, OT
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
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.