Individual
MRS. ELISHA J REASONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
18890 NE 63RD ST, HARRAH, OK 73045-8512
(405) 640-2110
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1002
OK
224Z00000X
Occupational Therapy Assistant
Primary
2109
NM
Other
Enumeration date
10/17/2007
Last updated
01/18/2024
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