MR. Jerry Durham, M.ED., OTRL

NPI #1982720439 in Shawnee, Oklahoma

Provider Information

NPI Number: 1982720439
Entity Type: Individual
Name: MR. Jerry Durham, M.ED., OTRL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: M.ED., OTRL
Enumeration Date: Mar 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2401 E HIGHLAND ST
City: Shawnee
State: Oklahoma
ZIP Code: 74801-6594
Phone: (405) 395-9117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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