Individual
MRS. PATRICIA L SHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
12899 E 76TH ST N UNIT NO117, OWASSO, OK 74055-4026
(918) 609-6003
(918) 609-6002
Mailing address
12899 E 76TH ST N UNIT NO117, OWASSO, OK 74055-4026
(919) 609-6003
(918) 609-6002
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2156
OK
Other
Enumeration date
07/17/2007
Last updated
04/16/2008
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