Organization
GREAT CHANGES RESOURCE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA L SHOUN OTRL (OWNER)
(405) 604-0496
Entity
Organization
Contact information
Practice address
1024 NW 47TH ST, SUITE C, OKLAHOMA CITY, OK 73118-6400
(405) 604-0496
(405) 601-3750
Mailing address
PO BOX 720997, OKLAHOMA CITY, OK 73172-0997
(405) 604-0496
(405) 601-3750
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT223
OK
Other
Enumeration date
04/02/2014
Last updated
04/16/2014
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