Individual
SHANNON REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 S WESTERN AVE, DEPT OF PHYSICAL MEDICINE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7131
Mailing address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7131
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2552
OK
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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