Individual
DESIREE CHRISTINE DUNLAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3930 N KICKAPOO AVE, SHAWNEE, OK 74804-1692
(405) 585-0037
Mailing address
440 MERCHANT DR, NORMAN, OK 73069-6470
(918) 622-4126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5612
OK
Other
Enumeration date
07/25/2019
Last updated
08/02/2019
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