Individual
SHAELLEN ELIZABETH FLORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 SW 89TH ST, OKLAHOMA CITY, OK 73139-9337
(405) 493-9955
(405) 768-2488
Mailing address
629 SW 89TH ST, OKLAHOMA CITY, OK 73139-9337
(405) 493-9955
(405) 768-2488
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2201
OK
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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