Provider Demographics
NPI:1770380313
Name:FLOURISH OT AND HOME MODS, PLLC
Entity type:Organization
Organization Name:FLOURISH OT AND HOME MODS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:ROULT
Authorized Official - Last Name:BRYCE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, OTR/L
Authorized Official - Phone:918-636-3636
Mailing Address - Street 1:7516 S 69TH EAST CT
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:918-636-3636
Mailing Address - Fax:
Practice Address - Street 1:7516 S 69TH EAST CT
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-3011
Practice Address - Country:US
Practice Address - Phone:918-636-3636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty