Individual
SHELLI R. SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 NE 18TH ST, OKLAHOMA CITY, OK 73111-1628
(405) 802-2557
Mailing address
PO BOX 11753, OKLAHOMA CITY, OK 73136-0753
(405) 802-2557
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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