Jerry Durham, M.Ed., OTRL
Occupational Therapist in Shawnee, OK. Individual provider (NPI-1).
NPI number1982720439
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1982720439
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jerry Durham
- Credential
- M.Ed., OTRL
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 158 | OK | Yes |
Practice location
2401 E Highland StShawnee, OK 74801-6594
Phone 405-395-9117
Mailing address
2401 E Highland StShawnee, OK 74801-6594
Phone 405-395-9117
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Other Occupational Therapist providers in Shawnee, OK
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All 15 Occupational Therapist providers in Shawnee · All 1,457 providers in Shawnee
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