Lori Reynolds

NPI #1750996427 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1750996427
Entity Type: Individual
Name: Lori Reynolds
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 10, 2020
Last Updated: Jul 30, 2021

Practice Location

Address: 2221 W DETROIT ST
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-3628
Phone: (918) 615-6492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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