JERRY DURHAM

SHAWNEE, OK
NPI1982720439
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OK  158)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
Mr. JERRY DURHAM M.Ed., OTRL
2401 E HIGHLAND ST
SHAWNEE, OK 74801-6594
Phone number: 405-395-9117
Mailing Address
Mr. JERRY DURHAM M.Ed., OTRL
2401 E HIGHLAND ST
SHAWNEE, OK 74801-6594
Phone number: 405-395-9117