Individual
MISS SHANNON ALLISON RATERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1200 S SHUNDI, GROVE, OK 74344-1014
(918) 353-2309
(918) 787-7889
Mailing address
PO BOX 450517, GROVE, OK 74345-0517
(918) 353-2309
(918) 787-7889
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3705
KS
225100000X
Physical Therapist
Primary
3886
OK
Other
Enumeration date
10/05/2006
Last updated
11/29/2010
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