SHANON M FUNKHOUSER

MIDWEST CITY, OK
NPI1053513606
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  810)
Enumeration Date2007-06-05
Last Update Date2021-07-12
Business Address
Mrs. SHANON M FUNKHOUSER cota
9070 HARMONY DR STE A
MIDWEST CITY, OK 73130-6257
Phone number: 405-455-5582
Mailing Address
Mrs. SHANON M FUNKHOUSER cota
10700 S MAY AVE APT 126
OKLAHOMA CITY, OK 73170-2576
Phone number: 405-885-9141