Lori Reynolds, | |
2221 W Detroit St, Broken Arrow, OK 74012-3628 | |
(918) 615-6492 | |
Not Available |
Full Name | Lori Reynolds |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 2221 W Detroit St, Broken Arrow, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750996427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083123624 PECOS PAC ID: 6507832573 Enrollment ID: O20171116000310 |
Mailing Address | Practice Location Address |
---|---|
Lori Reynolds, 12610 S 73rd East Ave, Bixby, OK 74008-2646 Ph: (870) 314-2885 | Lori Reynolds, 2221 W Detroit St, Broken Arrow, OK 74012-3628 Ph: (918) 615-6492 |
Mr. Minh The Huynh, OTL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-451-5143 | |
Ms. Maryanne E. Damico, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2608 W Kenosha St, Suite 430, Broken Arrow, OK 74012 Phone: 918-259-3714 | |
Mrs. Carla Cathleen Lott, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2221 W Detroit St, Broken Arrow, OK 74012 Phone: 918-615-6492 | |
April Meyer, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1306 E College St, Broken Arrow, OK 74012 Phone: 918-251-3200 | |
Outcomes, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 S 283rd East Ave, Broken Arrow, OK 74014 Phone: 918-408-6943 Fax: 918-357-9277 | |
Ashlee Potter, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2257 W Washington St, Broken Arrow, OK 74012 Phone: 918-994-7799 | |
Alexis Langston, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 W San Antonio St, Broken Arrow, OK 74012 Phone: 918-410-8740 |