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Loretta Boutwell, RBT
NPI 1598346900 · on the registry since 2021 · sole proprietor
Practice
- Address
- 13905 Technology Dr
Oklahoma City, OK 73134 - Phone
- (405) 389-4530
- Clinicians at this address
- 95
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma