Basic Information
| Provider Information | |||||||||
| NPI: | 1821145343 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BRYCE | ||||||||
| FirstName: | HELEN | ||||||||
| MiddleName: | ROULT | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | M.A., OTR L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7526 SOUTH 69TH EAST COURT | ||||||||
| Address2: | |||||||||
| City: | TULSA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 741333011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9186603282 | ||||||||
| FaxNumber: | 9186603297 | ||||||||
| Practice Location | |||||||||
| Address1: | 1600 N PHILLIPS AVE | ||||||||
| Address2: | |||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731044619 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9186603282 | ||||||||
| FaxNumber: | 9186603297 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/05/2007 | ||||||||
| LastUpdateDate: | 10/25/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OT528 | OK | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.