Individual
MRS. KELLY SHANNON BRUNSTETER MISURACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5300 N INDEPENDENCE AVE STE 100, OKLAHOMA CITY, OK 73112-5550
(405) 945-4500
(405) 945-4501
Mailing address
11200 AUTUMN RD, EDMOND, OK 73013-8378
(405) 771-4905
(405) 945-4501
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT466
OK
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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