Individual
DR. SHANE LEE CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
20208 E 37TH ST S, BROKEN ARROW, OK 74014-1755
(405) 808-8128
Mailing address
20208 E 37TH ST S, BROKEN ARROW, OK 74014-1755
(405) 808-8128
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4745
OK
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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