Individual
SHANNON GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
9220 S PENNSYLVANIA AVE STE C, OKLAHOMA CITY, OK 73159-6909
(405) 455-5582
Mailing address
PO BOX 851, SAPULPA, OK 74067-0851
(918) 607-1477
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/10/2021
Last updated
07/10/2025
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