Individual
MRS. LAURA LYNN SHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7604 NW 102ND ST, OKLAHOMA CITY, OK 73162-5311
(405) 410-8814
(405) 721-1882
Mailing address
7604 NW 102ND ST, OKLAHOMA CITY, OK 73162-5311
(405) 410-8814
(405) 721-1882
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT223
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100670140A
—
OK
05
—
100670140C
—
OK
Enumeration date
09/21/2006
Last updated
06/04/2015
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