NPI 1053513606

Shanon M Funkhouser, COTA

Practitioner Occupational Therapy Assistant Midwest City, OK

Practice location

Address: 9070 Harmony Dr STE a, Midwest City, OK 73130-6257
Phone: (405) 455-5582
Mailing address: 10700 S May Ave APT 126, Oklahoma City, OK 73170-2576

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 810 (OK)

Other Occupational Therapy Assistant providers in Oklahoma →

Registry record

NPI: 1053513606
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2007
Record last updated: 12 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.