Provider Demographics
NPI:1821145343
Name:BRYCE, HELEN ROULT (MA, OTR L)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:ROULT
Last Name:BRYCE
Suffix:
Gender:F
Credentials:MA, OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7526 SOUTH 69TH EAST COURT
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-3011
Mailing Address - Country:US
Mailing Address - Phone:918-660-3282
Mailing Address - Fax:918-660-3297
Practice Address - Street 1:1600 N PHILLIPS AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-4619
Practice Address - Country:US
Practice Address - Phone:918-660-3282
Practice Address - Fax:918-660-3297
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OKOT528225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist