Individual
MRS. RENE MARIE DAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, BCBA, LBA
Contact information
Practice address
3700 DERBY RUN DRIVE, EDMOND, OK 73034
(405) 590-7127
(405) 271-1707
Mailing address
3700 DERBY RUN DRIVE, EDMOND, OK 73034
(405) 590-7127
(405) 271-1707
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21787
OK
225100000X
Physical Therapist
2111
OK
225100000X
Physical Therapist
PT2111
OK
Other
Enumeration date
02/19/2008
Last updated
05/01/2022
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