Individual
PENNY JO REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2179 HOUSTON AVE, NORMAN, OK 73071-3318
(405) 343-6181
Mailing address
2179 HOUSTON AVE, NORMAN, OK 73071-3318
(405) 343-6181
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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