Individual
SHANNON MICHELLE ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
900 E. AIRPORT ROAD, OKMULGEE, OK 74447
(918) 756-9211
(918) 756-9452
Mailing address
11822 S 96TH EAST PL, BIXBY, OK 74008-1772
(918) 756-9211
(918) 756-9452
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2890
OK
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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