Individual
TRAVIS CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9221 HARMONY DR, MIDWEST CITY, OK 73130-6255
(405) 869-0700
Mailing address
2832 WARWICK DR, OKLAHOMA CITY, OK 73116-4213
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2032
OK
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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