Individual
SHELLY DAWN NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5110 S. YALE AVE., STE. 102, TULSA, OK 74135
(918) 492-2386
(918) 645-8686
Mailing address
5110 S. YALE AVE., STE. 102, TULSA, OK 74135
(918) 492-2386
(918) 645-8686
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3735
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301241
—
NC
Enumeration date
11/10/2006
Last updated
02/08/2017
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