Individual
REBECCA JANE PHANSALKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 HARRIS DR, EDMOND, OK 73013-8019
(405) 844-3181
Mailing address
3600 HARRIS DR, EDMOND, OK 73013-8019
(405) 844-3181
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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