Individual
SHELLEY KAY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1623 N 9TH AVE, DURANT, OK 74701-3528
(580) 931-6292
Mailing address
1623 N 9TH AVE, DURANT, OK 74701-3528
(580) 931-6292
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212011
TX
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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