Individual
SHELBY JORDAN BUOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2506 N. HARRISON, SHAWNEE, OK 74804-3131
(405) 214-0300
(405) 214-0301
Mailing address
PO BOX 3675, SHAWNEE, OK 74802-3675
(405) 214-0300
(405) 214-0301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/01/2015
Last updated
09/12/2016
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