Individual
LORI REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
Mailing address
12610 S 73RD EAST AVE, BIXBY, OK 74008-2646
(870) 314-2885
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
07/30/2021
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