Individual
DR. SHAWN G WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1805 COMMONS CIR STE 100B, YUKON, OK 73099-9519
(405) 467-4086
(405) 467-4387
Mailing address
1805 COMMONS CIR STE 100B, YUKON, OK 73099-9519
(405) 467-4086
(405) 467-4387
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1769
OK
Other
Enumeration date
02/05/2006
Last updated
01/21/2026
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