Individual
MRS. SHOMA MORIASHA GAYAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1634 SW122ND ST, OKLAHOMA CITY, OK 73170
(405) 692-2366
(405) 692-2337
Mailing address
17301 CLOVE HILL PL, EDMOND, OK 73012-9705
(630) 347-2552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5151
OK
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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