Individual
MRS. REGAN JANEAN MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
6161 S YALE AVE, 4 SOUTH, TULSA, OK 74136
(918) 494-4250
Mailing address
1142 E MCLEOD AVE, SAPULPA, OK 74066
(918) 227-5929
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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