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Individual

BRENT ALAN SHELLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
5900 MOSTELLER DR STE 150, OKLAHOMA CITY, OK 73112-4613
(405) 842-0430
Mailing address
8525 WILLOW CREEK BLVD, OKLAHOMA CITY, OK 73162-2027

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3896
OK

Other

Enumeration date
02/23/2007
Last updated
07/08/2007
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