Individual
SHANNON TUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2692 N WILD MOUNTAIN RD, TULSA, OK 74127-1100
(918) 810-9584
Mailing address
2692 N WILD MOUNTAIN RD, TULSA, OK 74127-1100
(918) 810-9584
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1607
OK
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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