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Individual

MRS. CHRISHA DE SHAWNE MCGANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
219 E MAIN ST, EDMOND, OK 73034-4537
(405) 919-2031
(888) 547-5376
Mailing address
PO BOX 1220, EDMOND, OK 73083-1220
(405) 919-2031
(888) 547-5376

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1436
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200082460C
OK
Enumeration date
09/27/2006
Last updated
09/06/2016
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