Individual
STACY GAYLE REYNOLDS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1101 HILLCREST DR, WOODWARD, OK 73801-3027
(580) 256-6100
(580) 256-6101
Mailing address
1101 HILLCREST DR, PO BOX 308, WOODWARD, OK 73801-3027
(580) 256-6100
(580) 256-6101
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT459
OK
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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