| Sonja K Mangrum, MOT,OTR/L | |
|
15600 Acacia Rd, Oklahoma City, OK 73170-9313 | |
| (405) 664-0586 | |
| (405) 735-6984 |
| Full Name | Sonja K Mangrum |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 15600 Acacia Rd, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194822916 | NPI | - | NPPES |
| 200028630A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 1373 (Oklahoma) | Primary |
| Provider Name | Moore Autism Center, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518319276 PECOS PAC ID: 2062841646 Enrollment ID: O20200402000813 |
| Mailing Address | Practice Location Address |
|---|---|
| Sonja K Mangrum, MOT,OTR/L 15600 Acacia Rd, Oklahoma City, OK 73170-9313 Ph: (405) 664-0586 | Sonja K Mangrum, MOT,OTR/L 15600 Acacia Rd, Oklahoma City, OK 73170-9313 Ph: (405) 664-0586 |
Jovan Pride, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5701 Se 74th St Ste G, Oklahoma City, OK 73135 Phone: 405-610-1909 Fax: 405-610-1910 | |
Tung Le, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3327 Nw 50th St, Oklahoma City, OK 73112 Phone: 405-946-7300 | |
Dr. Rachele Quinones, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6525 N Meridian Ave, Ste, Oklahoma City, OK 73116 Phone: 405-721-1115 | |
Keli A Boone, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1404 Nw 122nd St, Oklahoma City, OK 73114 Phone: 405-749-8131 | |
Caroline Jean Grubbs, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6400 N Santa Fe Ave, Suite B, Oklahoma City, OK 73116 Phone: 405-840-2903 Fax: 405-840-3256 | |
Ms. Denise Lashaun Shaw, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2828 Nw 57th St Ste 302, Oklahoma City, OK 73112 Phone: 405-840-1253 | |
Cynthia A Robinson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 N Phillips Ave, Oklahoma City, OK 73104 Phone: 405-271-2131 Fax: 405-271-2432 |