Individual
STEPHANIE JO BUSHNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
927 SWAN LAKE CT, EDMOND, OK 73003-4807
(405) 702-3242
Mailing address
927 SWAN LAKE CT, EDMOND, OK 73003-4807
(405) 702-3242
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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