Individual
MRS. LISA ANNA CANNON-STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1701 EXCHANGE AVE, OKLAHOMA CITY, OK 73108-3020
(405) 587-0000
Mailing address
1701 EXCHANGE AVE, OKLAHOMA CITY, OK 73108-3020
(405) 587-0000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
575
OK
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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