Individual
MR. SHAD M ALTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
3610 SE HUNTINGTON CIR, LAWTON, OK 73501-8445
(580) 704-6668
(580) 351-9227
Mailing address
3610 SE HUNTINGTON CIR, LAWTON, OK 73501-8445
(580) 704-6668
(580) 351-9227
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1375
OK
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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