Individual
SHAUNA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6400 N SANTA FE, STE B, OKLAHOMA CITY, OK 73116-7601
(405) 840-2903
(405) 840-3256
Mailing address
6400 N SANTA FE, STE B, OKLAHOMA CITY, OK 73116-7601
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1071
OK
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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