Individual
SHANNON ELIZABETH ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
14920 HERTZ QUAIL SPRINGS PKWY STE B, OKLAHOMA CITY, OK 73134-2637
(405) 607-4440
(405) 607-4495
Mailing address
14920 HERTZ QUAIL SPRINGS PKWY STE B, OKLAHOMA CITY, OK 73134-2637
(405) 607-4440
(405) 607-4495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1522
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200258040 A
—
OK
Enumeration date
08/06/2007
Last updated
08/25/2010
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