Individual
SHAE SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1505 RENAISSANCE BLVD, EDMOND, OK 73013-3018
(405) 850-8497
(405) 300-0643
Mailing address
1505 RENAISSANCE BLVD, EDMOND, OK 73013-3018
(405) 850-8497
(405) 300-0643
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1679
OK
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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