Individual
JUSTIN B SHAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1600 N WASHINGTON AVE, DURANT, OK 74701-2128
(580) 740-0205
(580) 634-2848
Mailing address
1600 N WASHINGTON AVE, DURANT, OK 74701-2128
(580) 740-0205
(580) 634-2848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6441
OK
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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