NPI 1093583007
Ty R Mariott
Practice location
- Address
- 1 E Clark Bass Blvd, McAlester, OK 74501-4209
- Phone
- (918) 426-1800
- Mailing address
- 300 Spaulding Rd, Holdenville, OK 74848-9402
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1093583007
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Dec 2023
- Record last updated
- 19 Dec 2023
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.