Individual
MRS. REBECCA DEE SHAMBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
(918) 342-5432
Mailing address
11413 E 154TH ST N, COLLINSVILLE, OK 74021-4630
(918) 640-6065
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
719
OK
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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