Individual
REBECCA DIANE FLANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
815 NW 12TH ST, OKLAHOMA CITY, OK 73106-6802
(405) 230-9575
Mailing address
920 JUSTIN DR, YUKON, OK 73099-2150
(405) 605-9795
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT222
OK
Other
Enumeration date
03/29/2007
Last updated
05/27/2011
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