NPI 1023114691
Maryanne E. Damico, OTR
Practice location
- Address
- 2608 W Kenosha St Suite 430, Broken Arrow, OK 74012-8952
- Phone
- (918) 259-3714
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1023114691
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Sep 2006
- Record last updated
- 8 Jul 2007
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.