Individual
SHAYLA BARBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 N 14TH ST, PONCA CITY, OK 74601-2035
(580) 765-0518
Mailing address
1237 LACEY OAK LOOP, ROUND ROCK, TX 78681-2184
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
CPO11140A
OK
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
05/09/2022
Last updated
05/17/2022
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