OrganizationActive
Empowering Life Therapy, PLLC
NPI 1922355189 · Pediatric Occupational Therapist · Tuttle, OK
Provider details
- NPI number
- 1922355189
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Samantha Prater, Owner/Director(405) 694-7703
- License
- 1721 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
783 County Street 2981
Tuttle, OK 73089-1109
Phone: (405) 694-7703
Fax: (866) 721-5328
Approximate (ZIP-level) locationGet directions
Mailing address
783 County Street 2981
Tuttle, OK 73089-1109
Registry dates
- Enumerated
- 2012-08-07
- Last updated
- 2012-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.