Individual
JACOB SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 MERCHANT DR, NORMAN, OK 73069-6470
(405) 579-1600
(405) 579-1601
Mailing address
440 MERCHANT DR, NORMAN, OK 73069-6470
(405) 579-1600
(405) 579-1601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
06/12/2013
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