Individual
SHANNON HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1124 N WOODLAND PL, SAND SPRINGS, OK 74063-8964
(918) 698-5052
Mailing address
1124 N WOODLAND PL, SAND SPRINGS, OK 74063-8964
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1914
OK
Other
Enumeration date
09/01/2014
Last updated
09/01/2014
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